# MDS DIGITAL X-RAY LLC

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

## Provider details

- **NPI number:** 1811214760
- **Authorized official:** MR. FAREED A SIDDIQUI (V. PRESIDENT)
- **Authorized official phone:** (678) 477-3792

## Contact information

- **Practice address:** 2250 N DRUID HILLS RD NE, STE 270, ATLANTA, GA 30329-3192
- **Practice address phone:** (404) 728-0000
- **Practice address fax:** (404) 728-0801
- **Mailing address:** 2250 N DRUID HILLS RD NE, STE 270, ATLANTA, GA 30329-3192
- **Mailing address phone:** (404) 728-0000
- **Mailing address fax:** (404) 728-0801

## Taxonomy

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

## Other

- **Enumeration date:** 04/30/2010
- **Last updated:** 04/30/2010
