Michigan Diagnostic Services, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MICHIGAN DIAGNOSTIC SERVICES, INC

Practice address

6431 Inkster Rd
Ste 120
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

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

Addresses

Other identifiers 6

Part of

Michigan Diag Services Inc

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.

• Michigan Diagnostic Services, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Bloomfield Hills, MI
  • NPI 1811935315
  NPPES parent name

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": "1659549012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 INKSTER RD",
            "address_2": "STE 120",
            "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",
            "address_2": "STE 120",
            "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": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E00043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E00043",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MR",
            "identifier": "P00135961",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4468160",
            "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
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Michelson, MSW
• Michigan Comprehensive Health Services, Inc.
• Michigan Consulting and Diagnostics LLC
• Michigan Diagnostic Services, Inc
• Michigan Diagnostic Services, Inc
• Michigan Diagnostic Services, Inc
• Michigan Digestive Associates PC
• Michigan Expert Care and Staffing LLC
• Michigan Institute of Performance and Health
• Michigan Internal Medicine Center PC

• Diagnostic Radiology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Diagnostic Radiology Physician in Michigan

• 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.