Mobile Medical Diagnostic Services

LBN: Mobile Medical Diagnostic Services
Mobile Medical Diagnostic Services is an health care organization with primary practice located at 6223 Highway 63 , Ottumwa IA 52501-8175. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, Mobile, which is considered as the primary health care specialty. Mobile Medical Diagnostic Services can be contacted via phone (641) 777-1363, or through Delker, Darin Lee via phone (641) 777-1363.

Contact Information

Primary practice address
6223 Highway 63 Ottumwa IA 52501-8175
Phone: (641) 777-1363
Fax: (641) 682-6836
Website:
Map and Directions
Authorized official contact:
Name: Delker, Darin Lee
Phone: (641) 777-1363

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X 00419 Iowa

Profile Details

NPI number 1306845094
LBN Legal business name Mobile Medical Diagnostic Services
DBA Doing business as
Authorized official Delker, Darin Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Apr 8th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306845094 NPPES
Iowa Other 45171 WELLMARK BC/BS OF IOWA
Iowa MEDICAID 0265850 WELLMARK BC/BS OF IOWA
Iowa Other 630001464 WELLMARK BC/BS OF IOWA

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