Organization
MOBILE MEDICAL DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIN LEE DELKER (OWNER)
(641) 777-1363
Entity
Organization
Contact information
Practice address
6223 HIGHWAY 63, OTTUMWA, IA 52501-8175
(641) 777-1363
(641) 682-6836
Mailing address
6223 HIGHWAY 63, OTTUMWA, IA 52501-8175
(641) 777-1363
(641) 682-6836
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
00419
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265850
—
IA
01
—
45171
WELLMARK BC/BS OF IOWA
IA
01
—
630001464
RAILROAD MEDICARE
IA
Enumeration date
07/15/2005
Last updated
04/08/2013
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