# DETAILED DIAGNOSTIC SERVICES, INC.

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

## Provider details

- **NPI number:** 1790379873
- **Authorized official:** KELLY MURRAY (MANAGER)
- **Authorized official phone:** (516) 612-3511

## Contact information

- **Practice address:** 1715 HWY 35, MIDDLETOWN, NJ 07748-1867
- **Practice address phone:** (516) 612-3511
- **Mailing address:** PO BOX 493, LYNBROOK, NY 11563-0493
- **Mailing address phone:** (516) 612-3511

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2021
- **Last updated:** 03/01/2021