Organization
DIAGNOSTIC X-RAY SERVICE, INC.
Active
Organization
DIAGNOSTIC X-RAY SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB RUSSELL WUERSTLE (PRESIDENT)
(814) 459-6280
Entity
Organization
Contact information
Practice address
1769 WEST 26TH STREET, ERIE, PA 16508-1256
(800) 446-9729
(814) 459-6386
Mailing address
1769 WEST 26TH STREET, ERIE, PA 16508-1256
(800) 446-9729
(814) 459-6386
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007918360002
—
PA
Enumeration date
10/25/2006
Last updated
09/23/2024
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