Healthcare Provider Details

I. General information

NPI: 1518010016
Provider Name (Legal Business Name): DIAGNOSTIC GROUP SERVICES CO. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WINCHESTER DR
HOWELL NJ
07731-2949
US

IV. Provider business mailing address

10 WINCHESTER DR
HOWELL NJ
07731-2949
US

V. Phone/Fax

Practice location:
  • Phone: 732-370-3848
  • Fax:
Mailing address:
  • Phone: 732-370-3848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH R CHAPERON JR.
Title or Position: VICE PRESIDENT
Credential: B.S.R.T.
Phone: 732-370-3848