# DIAGNOSTIC X-RAY SERVICE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699853606
- **Authorized official:** JACOB RUSSELL WUERSTLE (PRESIDENT)
- **Authorized official phone:** (814) 459-6280

## Contact information

- **Practice address:** 2828 MAIN ST, BUFFALO, NY 14214-1722
- **Practice address phone:** (814) 459-6280
- **Mailing address:** 1769 W 26TH ST, ERIE, PA 16508-1256
- **Mailing address phone:** (800) 446-9729
- **Mailing address fax:** (814) 459-6386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 09/23/2024