# MDS DIGITAL X-RAY INC

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

## Provider details

- **NPI number:** 1487882544
- **Authorized official:** MUNNER HASAN (PRESIDENT)
- **Authorized official phone:** (847) 626-0800

## Contact information

- **Practice address:** 5620 E FOWLER AVE, STE F, TEMPLE TERRACE, FL 33617-2372
- **Practice address phone:** (847) 626-0800
- **Practice address fax:** (847) 626-0817
- **Mailing address:** 5620 E FOWLER AVE, STE F, TEMPLE TERRACE, FL 33617-2372
- **Mailing address phone:** (847) 626-0800
- **Mailing address fax:** (847) 626-0817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2009
- **Last updated:** 06/29/2009