# MICHIGAN DIAGNOSTIC SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MICHIGAN DIAGNOSTIC SERVICES INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003084468
- **Legal business name:** MICHIGAN DIAGNOSTIC SERVICES INC
- **Authorized official:** MR. ATHEIR AMARRAH (OWNER/PRESIDENT)
- **Authorized official phone:** (248) 550-0111

## Contact information

- **Practice address:** 6431 INKSTER RD, STE 120, BLOOMFIELD HILLS, MI 48301-1310
- **Practice address phone:** (248) 550-0111
- **Practice address fax:** (248) 550-0121
- **Mailing address:** 6431 INKSTER RD, STE 120, BLOOMFIELD HILLS, MI 48301-1310
- **Mailing address phone:** (248) 550-0111
- **Mailing address fax:** (248) 550-0121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3402X | Radiography Radiologic Technologist | — | NULL | — |
| 2471C3402X | Radiography Radiologic Technologist | — | — | — |
| 2471S1302X | Sonography Radiologic Technologist | — | NULL | — |
| 2471S1302X | Sonography Radiologic Technologist | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2008
- **Last updated:** 12/19/2016