Organization
MICHIGAN DIAGNOSTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ATHEIR AMARRAH (OWNER/PRESIDENT)
(248) 550-0111
Entity
Organization
Contact information
Practice address
6431 INKSTER RD, STE 120, BLOOMFIELD HILLS, MI 48301-1310
(248) 550-0111
(248) 550-0121
Mailing address
6431 INKSTER RD, STE 120, BLOOMFIELD HILLS, MI 48301-1310
(248) 550-0111
(248) 550-0121
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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
06/04/2006
Last updated
12/19/2016
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