# MERCY DIAGNOSTIC SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437459435
- **Authorized official:** BAN YOUSIF (PRESIDENT)
- **Authorized official phone:** (248) 250-2627

## Contact information

- **Practice address:** 5961 PERRYTOWN CT, WEST BLOOMFIELD, MI 48322-1502
- **Practice address phone:** (248) 250-2627
- **Mailing address:** 5961 PERRYTOWN CT, WEST BLOOMFIELD, MI 48322-1502
- **Mailing address phone:** (248) 250-2627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 10/25/2010