Organization
NDS RADIOLOGY INC.
Active
Other names
National Diagnostic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KETSLAKH (CEO)
(248) 476-6980
Entity
Organization
Contact information
Practice address
28700 CABOT DR STE 500, NOVI, MI 48377-2949
(248) 476-6980
(248) 476-7462
Mailing address
28700 CABOT DR STE 500, NOVI, MI 48377-2949
(248) 476-6980
(248) 476-7462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/04/2009
Last updated
01/22/2025
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