NPIMap

Organization Active NPI

MDS Digital X-Ray Inc

  • Physiological Laboratory
  • Louisville, KY
National Provider Identifier
1811228935
Registry record updated Oct 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MDS DIGITAL X-RAY INC
Practice address
1800 Envoy Cir
Ste 1801
Louisville, KY 40299-1854
Phone
(502) 491-9141
Fax
(502) 491-9176
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2010

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

Authorized official

Name
Mr. Shams U Siddiqui
Title
President
Phone
(773) 544-1246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1800 Envoy Cir
Ste 1801
Louisville, KY 40299-1854

Mailing address

1800 Envoy Cir
Ste 1801
Louisville, KY 40299-1854
Phone (502) 491-9141

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286755200000",
    "number": "1811228935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ENVOY CIR",
            "address_2": "STE 1801",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991854",
            "telephone_number": "502-491-9141",
            "fax_number": "502-491-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ENVOY CIR",
            "address_2": "STE 1801",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991854",
            "telephone_number": "502-491-9141",
            "fax_number": "502-491-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS DIGITAL X-RAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-10-11",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SHAMS",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-544-1246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; 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.