Provider Demographics
NPI:1831568955
Name:DIAGNOSTIC TESTING SERVICES
Entity type:Organization
Organization Name:DIAGNOSTIC TESTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZITA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-599-3388
Mailing Address - Street 1:PO BOX 33013
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08629-3013
Mailing Address - Country:US
Mailing Address - Phone:609-599-3388
Mailing Address - Fax:215-239-3098
Practice Address - Street 1:520 N DELAWARE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-4226
Practice Address - Country:US
Practice Address - Phone:215-239-3097
Practice Address - Fax:215-239-3098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004886L111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty