Organization
MICHIGAN DIAGNOSTIC SERVICES, INC
Active
Parent organization
MICHIGAN DIAGNOSTIC SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN DIAGNOSTIC SERVICES INC
Authorized official
MR. ATHEIR AMARRAH (OWNER/PRESIDENT)
(248) 550-0111
Entity
Organization
Contact information
Practice address
6431 INKSTER RD, BLOOMFIELD HILLS, MI 48301-1310
(248) 550-0111
(248) 550-0121
Mailing address
6431 INKSTER RD, BLOOMFIELD HILLS, MI 48301-1310
(248) 550-0111
(248) 550-0121
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E00043
BCBSM
MI
05
—
4468160
—
MI
01
—
P00135961
RR MR
—
01
—
P00331281
RR MR
—
01
—
P00393162
RR MR
—
Enumeration date
02/19/2008
Last updated
12/19/2016
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