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Medical Diagnostic Services Inc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Waterford, Michigan
NPI 1912169186

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 1912169186 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
1912169186
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
06/30/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0F38038 01 MI BCBS PIN
0H01066 01 MI BLUE CROSS BLUE SHIELD PIN
1912169186 05 MI
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
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
()
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
()
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
person
Provider's Taxonomy Details 4
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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