Organization
MEDICAL DIAGNOSTIC DIGITAL CENTER , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK NEYZBERG X-RAY TECH (PRESIDENT)
(415) 370-9605
Entity
Organization
Contact information
Practice address
722 NINA LN, FOSTER CITY, CA 94404-1721
(415) 370-9605
(650) 341-5838
Mailing address
722 NINA LN, FOSTER CITY, CA 94404-1721
(415) 370-9605
(650) 341-5838
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
RHT70625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XR009995F
—
CA
Enumeration date
05/06/2009
Last updated
05/06/2009
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