Organization
MEDICAL DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLEY J BORDELOVE (PRESIDENT)
(248) 788-4105
Entity
Organization
Contact information
Practice address
33597 WALNUT LN, FARMINGTON HILLS, MI 48331-2239
(248) 788-4105
(248) 788-4119
Mailing address
33597 WALNUT LN, FARMINGTON HILLS, MI 48331-2239
(248) 788-4105
(248) 788-4119
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4979750
—
MI
01
—
540F335660
BCBS
MI
Enumeration date
10/09/2006
Last updated
06/23/2008
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