Organization
MEDICAL DIAGNOSTIC SERVICES INC
Active
Parent organization
MEDICAL DIAGNOSTIC SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL DIAGNOSTIC SERVICES INC
Authorized official
MR. SHAMS U. SIDDIQUI (PRESIDENT)
(317) 881-9600
Entity
Organization
Contact information
Practice address
8007 S MERIDIAN ST, INDIANAPOLIS, IN 46217-2901
(317) 881-9600
(317) 881-9605
Mailing address
3701 JARVIS AVE, SKOKIE, IL 60076-4019
(847) 626-0800
(847) 626-8019
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200887330
—
IN
01
—
DN8477
RAILROAD MEDICARE PIN
IN
Enumeration date
06/30/2008
Last updated
09/28/2018
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