# MEDICAL DIAGNOSTIC SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDICAL DIAGNOSTIC SERVICES INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861648917
- **Legal business name:** MEDICAL DIAGNOSTIC SERVICES INC
- **Authorized official:** MR. SHAMS SIDDIQUI (PRESIDENT)
- **Authorized official phone:** (847) 626-0800

## Contact information

- **Practice address:** 4479 PONTIAC LAKE RD, SUITE 1D, WATERFORD, MI 48328-2059
- **Practice address phone:** (248) 499-7618
- **Practice address fax:** (248) 499-7644
- **Mailing address:** 3701 JARVIS AVE, SKOKIE, IL 60076-4019
- **Mailing address phone:** (847) 626-0800
- **Mailing address fax:** (847) 626-0819

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2008
- **Last updated:** 11/03/2014