Organization Active NPI

Michigan Diagnostic Services, Inc

  • Sonography Radiologic Technologist
  • Bloomfield Hills, MI
National Provider Identifier
1497923858
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
MICHIGAN DIAGNOSTIC SERVICES, INC
Practice address
6431 Inkster Rd
Bloomfield Hills, MI 48301-1310
Phone
(248) 550-0111
Fax
(248) 550-0121
NPI assigned
Feb 19, 2008
Organization subpart
Yes
Parent organization
MICHIGAN DIAGNOSTIC SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Mr. Atheir Amarrah
Title
Owner/President
Phone
(248) 550-0111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XS1301X
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X Primary

Addresses

Primary practice location

6431 Inkster Rd
Bloomfield Hills, MI 48301-1310

Mailing address

6431 Inkster Rd
Bloomfield Hills, MI 48301-1310
Phone (248) 550-0111

Other identifiers 5

IdentifierTypeStateIssuer
0E00043OtherMIBCBSM
P00331281OtherRR MR
P00393162OtherRR MR
4468160MedicaidMI
P00135961OtherRR MR

National Provider Directory

National Provider Directory
Part of
Michigan Diag Services Inc

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": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1497923858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 INKSTER RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011310",
            "telephone_number": "248-550-0111",
            "fax_number": "248-550-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 INKSTER RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011310",
            "telephone_number": "248-550-0111",
            "fax_number": "248-550-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN DIAGNOSTIC SERVICES INC",
        "enumeration_date": "2008-02-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "AMARRAH",
        "authorized_official_first_name": "ATHEIR",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-550-0111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E00043",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MR",
            "identifier": "P00331281",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MR",
            "identifier": "P00393162",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4468160",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MR",
            "identifier": "P00135961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.