Provider Demographics
NPI:1881256451
Name:MEDICAL DISCOVERY SYSTEMS, LLC
Entity type:Organization
Organization Name:MEDICAL DISCOVERY SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-850-1649
Mailing Address - Street 1:141 - I ROUTE 130 SOUTH #334
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077
Mailing Address - Country:US
Mailing Address - Phone:856-383-2800
Mailing Address - Fax:856-288-0909
Practice Address - Street 1:5425 OXFORD AVE.
Practice Address - Street 2:5425 OXFORD AVE. SUITE (3 A)
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124
Practice Address - Country:US
Practice Address - Phone:856-383-2800
Practice Address - Fax:856-288-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-03
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies