MIDATLANTIC DIAGNOSTIC SERVICES PC


Address: 55 Pine Rd, Gibbsboro, NJ 08026
Phone: 2153345477

MIDATLANTIC DIAGNOSTIC SERVICES PC (NPI# 1225239262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225239262
Entity Type Organization
Organization Name MIDATLANTIC DIAGNOSTIC SERVICES PC
Practice Address 55 Pine Rd
Gibbsboro
NJ 08026
Mailing Address P. O. Box 152
Cedarbrook
NJ 08018
Practice Telephone 2153345477
Mailing Telephone 2153345477
Mailing Fax Number 2155513320
Enumeration Date 2007-05-29
Last Update Date 2020-08-22
Authorized Official Name DR. JAMES JOHN DEMARINO (PRES)
Authorized Official Telephone 2153345477
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory DC0006292 PA Laboratories

Office Location

Street Address 55 PINE RD
City GIBBSBORO
State NJ
Zip Code 08026

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669647350 Karen A Atkin Social Worker 6 E. Clementon Road, Suite F1, Gibbsboro, NJ 08026 2008-04-24
1750576294 New Jersey Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 74 South Lakeview Drive, Gibbsboro, NJ 08026 2007-09-07
1518045525 Rafael Lardizabal Valencia Pediatrics 146 Lakeview Dr, Suite 102, Gibbsboro, NJ 08026 2006-11-01
1619984580 The Ent Specialty Center, PC Otolaryngology The Ent Specialty, PC 88 South Lakeview Drive, Building 1, Gibbsboro, NJ 08026 2006-08-02
1194789313 Anthony F Napoli Jr. Pediatrics 13 Lakeview Drive, Gibbsboro, NJ 08026 2006-04-14
1336414226 Chop Clinical Associates, PC Pediatrics 13 Lakeview Drive, Gibbsboro, NJ 08026 2012-03-12
1053443150 Eric Joseph Forte Dentist 59 Lakeview Dr N, Gibbsboro, NJ 08026-1002 2007-03-12
1104948546 Robert S. Gelbert, Dds, PC Dentist 59 Lakeview Dr N, Suite 2, Gibbsboro, NJ 08026-1002 2007-04-05
1164041778 Optimistic Healthcare Services Nurse Practitioner 61 N Lakeview Dr Ste 4, Gibbsboro, NJ 08026-1007 2020-04-14
1265046338 Nurse Staffers, Inc. Nursing Care 146 S Lakeview Dr Ste 200, Gibbsboro, NJ 08026-1018 2020-09-04
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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285281352 Health In Code, Inc Physiological Laboratory 2 East Blackwell Street, Suite 24, Dover, NJ 07801 2019-08-22
1063879062 Ctsx LLC Physiological Laboratory 10 Hannah Ct, Monroe, NJ 08831-4099 2016-01-21
1619334752 Cardio Care Physicians, LLC Physiological Laboratory 167 Stone Hill Rd, Colts Neck, NJ 07722-1726 2016-01-20
1861888117 Ultra Imaging Physiological Laboratory 9 Karen St, Kendall Park, NJ 08824-1602 2015-04-14
1255761664 Rmx Monitoring LLC. Physiological Laboratory 5000 Atrium Way, Suite 1, Mount Laurel, NJ 08054-3915 2013-11-21
1346673639 Us Diagnostic Ultrasound Corporation Physiological Laboratory 208 Wilson Rd, Turnersville, NJ 08012-1451 2013-08-09
1245662105 On Site Cardiovascular Imaging Inc Physiological Laboratory 18 Centre Drive, Suite 205, Monroe Twp., NJ 08831 2013-08-02
1972838175 Alpha Medical Group Inc Physiological Laboratory 743 Pepperidge Rd, Mahwah, NJ 07430-3452 2009-10-06
1386888576 Fastrad LLC Physiological Laboratory 405 Candlewood Commons, Howell, NJ 07731-2171 2009-05-01
1538308721 Medical Support Information Service Physiological Laboratory 444 Washington Blvd, Suite 4314, Jersey City, NJ 07310-1901 2009-02-11
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Competitor

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City GIBBSBORO
Zip Code 08026

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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