Organization Name: | MOBILE DIAGNOSTIC TESTING SERVICES INC |
NPI Number: | 1003942855 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL T MCDONNELL (EXECUTIVE VICE PRESIDENT) |
Mailing Address: | 4950 Genesee St Suite 180 Buffalo |
State: | NY US |
Postal Code: | 142255550 |
Phone Number: | 7166867100 |
Fax Number: | 7166143282 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 06/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085U0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Ultrasound |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |