Organization
MDS DIGITAL X-RAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAMS U SIDDIQUI (PRESIDENT)
(773) 544-1246
Entity
Organization
Contact information
Practice address
1800 ENVOY CIR, STE 1801, LOUISVILLE, KY 40299-1854
(502) 491-9141
(502) 491-9176
Mailing address
1800 ENVOY CIR, STE 1801, LOUISVILLE, KY 40299-1854
(502) 491-9141
(502) 491-9176
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
01/29/2010
Last updated
10/11/2010
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