Medical Diagnostic Services INC

NPI #1225294317 in Waterford, Michigan

Provider Information

NPI Number: 1225294317
Entity Type: Organization
Organization Name: Medical Diagnostic Services INC
Subpart: Yes (part of a larger organization)
Parent Organization: MEDICAL DIAGNOSTIC SERVICES INC
Primary Specialty: Physiological Laboratory
Enumeration Date: Jul 29, 2008
Last Updated: Nov 3, 2014

Practice Location

Address: 4479 PONTIAC LAKE RD
Address 2: SUITE 1D
City: Waterford
State: Michigan
ZIP Code: 48328-2059
Phone: (248) 499-7618

Authorized Official

Name: MR. SHAMS SIDDIQUI
Title: PRESIDENT
Phone: (847) 626-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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