DIAGNOSTIC X-RAY SERVICE INC
NPI 1750465423
Physiological Laboratory in Buffalo, NY

Q: What is Diagnostic X-Ray Service Inc's NPI number?

The NPI number for Diagnostic X-Ray Service Inc is 1750465423. It was assigned to this organization in the NPPES registry on October 25, 2006.

Q: What is Diagnostic X-Ray Service Inc's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Active since October 25, 2006

2828 MAIN ST, BUFFALO, NY 14214(814) 459-6280 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2024, Feb 27, 2023 (2 updates tracked since 2023).

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About Diagnostic X-ray Service Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIAGNOSTIC X-RAY SERVICE INC (NPI 1750465423) is a healthcare organization registered as a physiological laboratory in Buffalo, New York and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Amherst and lists Jacob Russell Wuerstle, President, as its authorized official.

NPPES Registry Identity

NPI1750465423

Entity TypeOrganization

Primary Taxonomy293D00000X

Legal Business NameDIAGNOSTIC X-RAY SERVICE INC

Location Address2828 MAIN STBuffalo, NY 14214-1722

Mailing Address1769 W 26th StErie, PA 16508-1256 · (800) 446-9729 · Fax (814) 459-6386

Phone(814) 459-6280

Organization SubpartNo

Authorized OfficialJacob Russell WuerstlePresident · (814) 459-6280

Enumeration DateOctober 25, 2006

Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1750465423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories

Taxonomy Code293D00000X

Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

2828 MAIN ST, Buffalo, NY 14214

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Secondary Practice Location 1

Location 14242 Ridge Lea Rd Ste 1Amherst, NY 14226-5122 · Phone (814) 459-6280

Other Identifiers 2

Medicaid02997253NY

Medicaid01676219NY

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diagnostic X-ray Service Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew YorkEnrollment IDO20031211000662Non-DME Part B · Independent Diagnostic Testing Facility (IDTF)Due dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALEH A. FETOUH, M.D., PC

Clinic/Center (Radiology, Mammography)