Organization
MDS DIGITAL PORTABLE X-RAY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNEER S. HASAN (PRESIDENT)
(773) 544-1249
Entity
Organization
Contact information
Practice address
10300 W LINCOLN AVE, SUITE LL, WEST ALLIS, WI 53227-2100
(414) 321-6666
(888) 734-0535
Mailing address
3701 JARVIS AVE, SKOKIE, IL 60076-4019
(847) 606-0800
(847) 626-0819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
12/04/2014
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