# MDS-MOBILE DIAGNOSTIC SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669430690
- **Authorized official:** MRS. FAITH A CAMPBELL (PRESIDENT)
- **Authorized official phone:** (217) 378-4588

## Contact information

- **Practice address:** 8770 W BRYN MAWR AVE, CHICAGO, IL 60631-3515
- **Practice address phone:** (773) 253-4963
- **Mailing address:** 8770 W BRYN MAWR AVE, CHICAGO, IL 60631-3515
- **Mailing address phone:** (773) 253-4963

## Taxonomy

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

## Other

- **Enumeration date:** 05/01/2006
- **Last updated:** 03/25/2009