MEDICAL DIAGNOSTIC SERVICES INC


Address: 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI 48328-2059
Phone: 2484997618

MEDICAL DIAGNOSTIC SERVICES INC (NPI# 1861648917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861648917
Entity Type Organization
Organization Name MEDICAL DIAGNOSTIC SERVICES INC
Practice Address 4479 Pontiac Lake Rd
Suite 1d
Waterford
MI 48328-2059
Mailing Address 3701 Jarvis Ave
Skokie
IL 60076-4019
Practice Telephone 2484997618
Practice Fax Number 2484997644
Mailing Telephone 8476260800
Mailing Fax Number 8476260819
Enumeration Date 2008-08-08
Last Update Date 2014-11-03
Authorized Official Name MR. SHAMS SIDDIQUI (PRESIDENT)
Authorized Official Telephone 8476260800
Is Organization Subpart Y
Parent Organization Name MEDICAL DIAGNOSTIC SERVICES INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers

Other Provider Identifier

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

Other Provider IDs and Locations

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
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
1770643512 Medical Diagnostic Services Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 3701 Jarvis Ave, Skokie, IL 60076-4019 2006-12-11

Office Location

Street Address 4479 PONTIAC LAKE RD
SUITE 1D
City WATERFORD
State MI
Zip Code 48328-2059

Providers in the same location

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
1225294317 Medical Diagnostic Services Inc Physiological Laboratory 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI 48328-2059 2008-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477184125 Lillian Atty Pharmacist 1484 Rivona Dr, Waterford, MI 48328 2020-01-31
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1689191280 Sydney Strandberg Social Worker 1145 Parkway, Waterford, MI 48328 2017-08-24
1467982074 Briana Greenlee Dietitian, Registered 3819 Faber Terrace, Waterford, MI 48328 2017-06-15
1922537364 Lourdes Alzheimer's Special Care Custodial Care Facility 2400 Watkins Lake Rd, Waterford, MI 48328 2017-06-08
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1588019053 Legacy Dermatology Group PC Dermatology 1392 S Cass Lake Rd, Waterford, MI 48328 2016-05-03
1932567989 Devenia Denise Clayter Counselor 255 Summit Dr, Waterford, MI 48328 2016-02-05
1922409739 Stacey Diggs Counselor 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 2014-09-11
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Taxonomy Information

Taxonomy Code 335V00000X
Grouping Suppliers
Classification Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396362406 Rapid Diagnostics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 24450 Evergreen Rd Ste 215b, Southfield, MI 48075-5546 2020-07-06
1699232223 Indeal LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1192 Bembridge Dr, Rochester Hills, MI 48307-5715 2019-03-01
1790299964 Pegasus Diagnostics Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 3686 Brandi Dr, Sterling Heights, MI 48310-2538 2017-11-27
1255692646 Mxdiagnostics, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 24901 Northwestern Hwy Ste 609, Southfield, MI 48075-2210 2012-06-03
1386972602 Am Diagnostics Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 17520 W 12 Mile Road, Suite 108, Southfield, MI 48076-1945 2009-11-24
1487982922 Bobchi Inverciones L.L.C. Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 3628 Shady Ridge Rd, Jackson, MI 49201-9352 2009-11-20
1114118171 Zoomx Mobile Diagnostic Services, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 30230 Orchard Lake Rd, Suite 100, Farmington Hills, MI 48334-2267 2007-08-06
1295952745 Op Therapy, Inc. Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 7760 Kochville Rd, Freeland, MI 48623-8655 2007-04-19
1043344690 Patrick W Bozarth Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 227 N 9th St, Escanaba, MI 49829-3815 2007-03-15
1346291150 Op Therapy, Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 24301 Telegraph Rd, Southfield, MI 48033-3012 2006-05-15
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Competitor

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City WATERFORD
Zip Code 48328

Improve Information

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Dataset Information

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.

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