NPIMap

Organization Active NPI

MDS Digital X-Ray LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Atlanta, GA
National Provider Identifier
1811214760
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
MDS DIGITAL X-RAY LLC
Practice address
2250 N Druid Hills Rd NE
Ste 270
Atlanta, GA 30329-3192
Phone
(404) 728-0000
Fax
(404) 728-0801
NPI assigned
Apr 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Mr. Fareed A Siddiqui
Title
V. President
Phone
(678) 477-3792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

2250 N Druid Hills Rd NE
Ste 270
Atlanta, GA 30329-3192

Mailing address

2250 N Druid Hills Rd NE
Ste 270
Atlanta, GA 30329-3192
Phone (404) 728-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100625000276 GA Part B Supplier - Portable X-Ray Supplier 4082745666 Practice locations: Atlanta, GA

Portable X-ray supplier certification: CCN 11X0009829

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MDS DIGITAL X-RAY, LLC
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Nov 8, 2010
Last certification
Nov 21, 2024
Ownership / control type
Partnership
Facility address
2250 N Druid Hills Road, Suite 270
Atlanta, GA 30329

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
MDS Digital X-Ray LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1811214760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N DRUID HILLS RD NE",
            "address_2": "STE 270",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293192",
            "telephone_number": "404-728-0000",
            "fax_number": "404-728-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N DRUID HILLS RD NE",
            "address_2": "STE 270",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293192",
            "telephone_number": "404-728-0000",
            "fax_number": "404-728-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS DIGITAL X-RAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "FAREED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V. PRESIDENT",
        "authorized_official_telephone_number": "678-477-3792",
        "authorized_official_name_prefix": "Mr."
    },
    "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": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.