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Contact Information

FIRST STATE DIAGNOSTIC CENTER, INC
2401 PENNSYLVANIA AVE
SUITE 101
WILMINGTON, DE19806-1401
 Phone: 302-777-1103
 Fax: 302-777-1113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Medicine Technology Radiologic Technologist

2471N0900X
Indicates primary specialty

NPI Profile & details for FIRST STATE DIAGNOSTIC CENTER INC · (Female)

NPI # 1508947482
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • DE License # C1-0004005
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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