Organization
DETAILED DIAGNOSTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MURRAY (MANAGER)
(516) 612-3511
Entity
Organization
Contact information
Practice address
1715 HWY 35, MIDDLETOWN, NJ 07748-1867
(516) 612-3511
Mailing address
PO BOX 493, LYNBROOK, NY 11563-0493
(516) 612-3511
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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