Organization
MEDICAL DIAGNOSTIC SERVICE INC
Active
Organization
MEDICAL DIAGNOSTIC SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HOOPER DC (OWNER)
(252) 237-0848
Entity
Organization
Contact information
Practice address
705 N. WARD BLVD., SUITE A, WILSON, NC 27894
(252) 237-0848
(252) 237-0848
Mailing address
P.O. BOX 63, WILSON, NC 27894
(252) 237-0848
(252) 237-0848
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
Other
Enumeration date
05/31/2006
Last updated
08/31/2007
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