Organization
MOBILE DIAGNOSTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW S GOLDREICH (VP)
(973) 812-1300
Entity
Organization
Contact information
Practice address
40 GALESI DR, WAYNE, NJ 07470-4826
(973) 812-1300
(973) 812-0992
Mailing address
144 N BEVERWYCK RD, BOX 334, LAKE HIAWATHA, NJ 07034-1909
(973) 812-1300
(973) 812-0992
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3378501
—
NJ
Enumeration date
03/15/2006
Last updated
01/09/2015
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