Organization
MEDICAL DIAGNOSTIC SERVICES INC
Active
Parent organization
MEDICAL DIAGNOSTIC SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL DIAGNOSTIC SERVICES INC
Authorized official
MR. SHAMS U. SIDDIQUI (PRESIDENT)
(317) 881-9600
Entity
Organization
Contact information
Practice address
MEDICAL DIAGNOSTIC SERVICES INC, 8007 S MERIDIAN ST, INDIANAPOLIS, IN 46217-2901
(317) 881-9600
(317) 881-9605
Mailing address
3701 JARVIS AVE, SKOKIE, IL 60076-4019
(847) 626-0800
(847) 626-0819
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200911850A
—
IN
Enumeration date
05/20/2008
Last updated
09/28/2018
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