Organization
DIAGNOSTIC MEDICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J GRAY III RDMS (PRESIDENT)
(302) 292-2700
Entity
Organization
Contact information
Practice address
25 S OLD BALTIMORE PIKE, SUITE 104, NEWARK, DE 19702-1540
(302) 292-2700
(302) 292-2702
Mailing address
25 S OLD BALTIMORE PIKE, SUITE 104, NEWARK, DE 19702-1540
(302) 292-2700
(302) 292-2702
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
1989025931
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000563702
—
DE
01
—
000197322
HIGHMARK BLUE SHIELD
PA
01
—
0091836000
PERSONAL CHOICE BLUE SHIE
PA
Enumeration date
06/16/2006
Last updated
08/20/2013
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