MEDICAL DIAGNOSTIC SERVICES INC (NPI# 1770643512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770643512 |
| Entity Type | Organization |
| Organization Name | MEDICAL DIAGNOSTIC SERVICES INC |
| Practice Address |
3701 Jarvis Ave Skokie IL 60076-4019 |
| Practice Telephone | 8476260800 |
| Practice Fax Number | 8476260819 |
| Mailing Telephone | 8476260800 |
| Mailing Fax Number | 8476260819 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. SHAMS U SIDDIQUI (PRESIDENT) |
| Authorized Official Telephone | 8476260800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | ========= | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBSIL | 1628995 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912169186 | Medical Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI 48328-2059 | 2008-06-30 |
| 1376700088 | Medical Diagnostic Services Inc | Physiological Laboratory | Medical Diagnostic Services Inc, 8007 S Meridian St, Indianapolis, IN 46217-2901 | 2008-05-20 |
| 1861648917 | Medical Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI 48328-2059 | 2008-08-08 |
| 1225294317 | Medical Diagnostic Services Inc | Physiological Laboratory | 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI 48328-2059 | 2008-07-29 |
| 1922260181 | Medical Diagnostic Services Inc | Internal Medicine | 8007 S Meridian St, Indianapolis, IN 46217-2901 | 2008-06-30 |
| 1487816641 | Medical Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8007 S Meridian St, Ste 2c, Indianapolis, IN 46217-2901 | 2008-06-30 |
| 1992962682 | Medical Diagnostic Services Inc | Radiology | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2008-05-20 |
| 1952568636 | Medical Diagnostic Services Inc | Physiological Laboratory | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2008-05-20 |
| Street Address |
3701 JARVIS AVE |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043250053 | Najma A. Mirza | Radiology | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2006-06-07 |
| 1992962682 | Medical Diagnostic Services Inc | Radiology | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2008-05-20 |
| 1952568636 | Medical Diagnostic Services Inc | Physiological Laboratory | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639205883 | Dr Diagnostic Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7933 Lincoln Ave, Skokie, IL 60077-3632 | 2007-02-24 |
| 1841441821 | Dav-kim Portable X Ray Service Co | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8235 Christiana Ave, Skokie, IL 60076-2910 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050849 | Starmed Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 222 E Wisconsin Ave Ste 2b, Lake Forest, IL 60045-1701 | 2020-10-16 |
| 1093313785 | Compuray Staffing | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 121 N Cross St Unit 346, Wheaton, IL 60187-5361 | 2020-10-14 |
| 1366050577 | Apex Portable X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 S. 4th St., Unit C Suite 1, Dekalb, IL 60115-3705 | 2020-07-14 |
| 1821615063 | Xoom Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3916 W Lunt Ave, Lincolnwood, IL 60712-2534 | 2020-07-04 |
| 1164059572 | Northshore Ultrasound Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 215 S Edward St, Mt Prospect, IL 60056-3415 | 2020-03-25 |
| 1689149882 | Biomedical Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2044 Madison Ave Ste 28, Granite City, IL 62040-4661 | 2018-10-04 |
| 1487151783 | Advanced Digital Mobile Xray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 109 N Main St Rm D, Toluca, IL 61369-9430 | 2018-04-12 |
| 1699282145 | Medical Imaging Specialist Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9944 S Roberts Rd Ste 106, Palos Hills, IL 60465-1555 | 2018-01-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1386166049 | Diagnostic Vascular Testing, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 94 Sapphire Pt, Morton, IL 61550-3608 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.