Provider Demographics
NPI:1619176013
Name:DIAGNOSTIC DEVICES, INC
Entity Type:Organization
Organization Name:DIAGNOSTIC DEVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SALES AND MARKETING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-285-6454
Mailing Address - Street 1:9300 HARRIS CORNERS PKWY
Mailing Address - Street 2:SUITE 450
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-3790
Mailing Address - Country:US
Mailing Address - Phone:704-285-6400
Mailing Address - Fax:704-285-6475
Practice Address - Street 1:9300 HARRIS CORNERS PKWY
Practice Address - Street 2:SUITE 450
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-3790
Practice Address - Country:US
Practice Address - Phone:704-285-6400
Practice Address - Fax:704-285-6475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies