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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
SHAMS U. SIDDIQUI (PRESIDENT)
(847) 626-0800
Entity
Organization

Contact information

Practice address
8007 S MERIDIAN ST, STE 2C, 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
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487816641
ANTHEM BLUE CROSS BLUE SHIELD PIN
IN
05
200887330
IN
01
P00444793
RAILROAD MEDICARE PIN
IN
Enumeration date
06/30/2008
Last updated
06/14/2018
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