NPIMap

Organization Active NPI

MDS Digital X-Ray Inc

  • Clinical Medical Laboratory
  • Temple Terrace, FL
National Provider Identifier
1104054006
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MDS DIGITAL X-RAY INC
Practice address
5620 E Fowler Ave
Ste F
Temple Terrace, FL 33617-2372
Phone
(847) 626-0800
Fax
(847) 626-0817
NPI assigned
Jun 30, 2009
Organization subpart
Yes
Parent organization
MDS DIGITAL X-RAY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Munner Hasan
Title
President
Phone
(847) 626-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5620 E Fowler Ave
Ste F
Temple Terrace, FL 33617-2372

Mailing address

5620 E Fowler Ave
Ste F
Temple Terrace, FL 33617-2372
Phone (847) 626-0800

National Provider Directory

National Provider Directory
Tax ID family
MDS Digital X-Ray Inc3 organizations share this tax ID, including this one
Part of
MDS Digital X-Ray Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5620 E Fowler Ave
Ste F
Temple Terrace, FL 33617
Phone (847) 626-0800

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1104054006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 E FOWLER AVE",
            "address_2": "STE F",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172372",
            "telephone_number": "847-626-0800",
            "fax_number": "847-626-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 E FOWLER AVE",
            "address_2": "STE F",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172372",
            "telephone_number": "847-626-0800",
            "fax_number": "847-626-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS DIGITAL X-RAY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDS DIGITAL X-RAY INC",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "MUNNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-626-0800"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.