Organization
MIDDLETOWN DIAGNOSTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MARTIN MD (PRESIDENT)
(937) 297-6072
Entity
Organization
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, FRANKLIN, OH 45005-1066
(513) 424-2111
Mailing address
PO BOX 640807, CINCINNATI, OH 45264-0801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150783
—
OH
01
—
CG2200
RAILROAD MEDICARE
—
Enumeration date
12/03/2005
Last updated
06/06/2014
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