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Contact Information

MEDICAL DIAGNOSTIC SERVICES INC
4479 PONTIAC LAKE RD
SUITE 1D
WATERFORD TOWNSHIP, MI48328-2059
 Phone: 248-499-7618
 Fax: 248-499-7644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for MEDICAL DIAGNOSTIC SERVICES INC

NPI Number 1225294317
LBN Legal business name MEDICAL DIAGNOSTIC SERVICES INC
Authorized official SHAMS SIDDIQUI - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/29/2008
Last updated 11/03/2014 - About 12 years ago
Identifiers
MI Other 0F38711 BCBSM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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