Medstar Diagnostic Services Incorporated

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MEDSTAR DIAGNOSTIC SERVICES INCORPORATED

Practice address

6374 N Lincoln Ave Ste 310
Chicago, IL 60659-1283

Phone

(773) 463-3430

Fax

(773) 463-3436

NPI assigned

Jul 11, 2015

Organization subpart

No

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

Authorized official

Name

Munawar Kamal

Title

President

Phone

(773) 396-9655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iftikhar Ahmad, MD

  • Diagnostic Radiology Physician
  • Bethpage, NY
  • NPI 1922070457
  NPD (past)

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

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1700260577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591283",
            "telephone_number": "773-463-3430",
            "fax_number": "773-463-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591283",
            "telephone_number": "773-463-3430",
            "fax_number": "773-463-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR DIAGNOSTIC SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-11",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "MUNAWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-396-9655"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Chicago, IL
• Providers in Chicago, IL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.