Medical Diagnostic Services Inc, NPI 1861648917
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Waterford, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1861648917
NPI Entity Type Organization
Provider Name Medical Diagnostic Services Inc
Subpart of Organization Medical Diagnostic Services Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI, US
Provider Mailing Address 3701 Jarvis Ave, Skokie, IL, US, 600764019
Is Sole Proprietor? No
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Organization Official

Official Name MR. Shams Siddiqui
Official Position PRESIDENT
Phone 847-626-0800

Primary Taxonomy

Taxonomy Code

335V00000X

Taxonomy Name Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Classification

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Group

Suppliers

Description A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

Business Address

Medical Diagnostic Services Inc
4479 Pontiac Lake Rd
Suite 1d

Waterford, MI, US

Phone: 248-499-7618
Fax: 248-499-7644

Mailing Address

Medical Diagnostic Services Inc
3701 Jarvis Ave
Skokie, IL, US
ZIP 600764019
Phone: 847-626-0800
Fax: 847-626-0819

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
P00658473 MI RAILROAD MEDICARE PIN 01
0H01066 MI BLUE CROSS BLUE SHIELD PIN 01
0F38158 MI BCBS PIN 01

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