# MEDICAL DIAGNOSTIC SERVICES LLP

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

## Provider details

- **NPI number:** 1790783074
- **Authorized official:** MARIO ROLANDO CONTRERAS (PARTNER)
- **Authorized official phone:** (765) 448-4319

## Contact information

- **Practice address:** 2400 SOUTH ST, LAFAYETTE, IN 47904-3027
- **Practice address phone:** (765) 448-4319
- **Practice address fax:** (765) 448-2921
- **Mailing address:** PO BOX 5628, LAFAYETTE, IN 47903-5628
- **Mailing address phone:** (765) 448-4319
- **Mailing address fax:** (765) 448-2921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | IN | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 07/21/2022