# MEDICAL DIVERSIFIED SERVICES, INC.

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

## Provider details

- **NPI number:** 1912144411
- **Authorized official:** MRS. KELLY- ANN MURRAY (MANAGER)
- **Authorized official phone:** (732) 787-0468

## Contact information

- **Practice address:** 196 HIGHWAY 36 E, NORTH MIDDLETOWN, NJ 07748-5258
- **Practice address phone:** (732) 787-4068
- **Practice address fax:** (732) 787-6032
- **Mailing address:** PO BOX 442, PORT MONMOUTH, NJ 07758-0442
- **Mailing address phone:** (732) 787-4068
- **Mailing address fax:** (732) 787-0632

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 01/21/2009