# MDS DIGITAL X-RAY INC

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

## Provider details

- **NPI number:** 1750612099
- **Authorized official:** MR. SHAMS U SIDDIQUI (PRESIDENT)
- **Authorized official phone:** (773) 544-1246

## Contact information

- **Practice address:** 1800 ENVOY CIR, STE. 1801, LOUISVILLE, KY 40299-1854
- **Practice address phone:** (502) 491-9141
- **Practice address fax:** (502) 491-9176
- **Mailing address:** 1800 ENVOY CIR, STE. 1801, LOUISVILLE, KY 40299-1854
- **Mailing address phone:** (502) 491-9141
- **Mailing address fax:** (502) 491-9176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2010
- **Last updated:** 11/12/2012