Organization
FIRST STATE DIAGNOSTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAR TAYO ADELEKE M.D. (PRESIDENT)
(302) 777-1103
Entity
Organization
Contact information
Practice address
2401 PENNSYLVANIA AVE, SUITE 101, WILMINGTON, DE 19806-1401
(302) 777-1103
(302) 777-1113
Mailing address
2401 PENNSYLVANIA AVE, SUITE 101, WILMINGTON, DE 19806-1401
(302) 777-1103
(302) 777-1113
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
C1-0004005
DE
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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