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Medical Diagnostic Services Inc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Waterford, Michigan
NPI 1861648917

Medical Diagnostic Services Inc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Skokie, MI. Medical Diagnostic Services Inc practices in Waterford, MI. The NPI Number for Medical Diagnostic Services Inc is 1861648917 and holds a License No. (Michigan).

The current practice location address for Medical Diagnostic Services Inc is 4479 Pontiac Lake Rd, Waterford, MI and can be reached out via phone at 248-499-7618 and via fax at 248-499-7644.

Location: 4479 Pontiac Lake Rd, Waterford, MI, 60076-4019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861648917
Provider Name
Medical Diagnostic Services Inc
Credential
Provider Entity Type
Organization
Address
4479 Pontiac Lake Rd, Waterford, MI, 60076-4019
Phone Number
248-499-7618
Fax Number
248-499-7644
Provider Enumeration Date
08/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00658473 01 MI RAILROAD MEDICARE PIN
0H01066 01 MI BLUE CROSS BLUE SHIELD PIN
0F38158 01 MI BCBS PIN
institution
Provider Business Practice Location Address Details
Address
4479 Pontiac Lake Rd
City
Waterford
State
Michigan
Zip
48328-2059
Phone Number
248-499-7618
Fax Number
248-499-7644
person
Provider Business Mailing Address Details
Address
4479 Pontiac Lake Rd
City
Waterford
State
Michigan
Zip
48328-2059
Phone Number
248-499-7618
Fax Number
248-499-7644
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
()
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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