Michigan Diagnostic Services, Inc

Primary specialty

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

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

Jun 4, 2006

Last updated

Dec 19, 2016By the provider in NPPES

Organization subpart

No

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 4

Addresses

Other identifiers 5

Locations

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Michigan Diagnostic Services, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Bloomfield Hills, MI
  • NPI 1003084468
  NPPES parent name
• Michigan Diagnostic Services, Inc

  • Sonography Radiologic Technologist
  • Bloomfield Hills, MI
  • NPI 1497923858
  NPPES parent name
• Michigan Diagnostic Services, Inc

  • Diagnostic Radiology Physician
  • Bloomfield Hills, MI
  • NPI 1659549012
  NPPES parent name

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1811935315",
    "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": "NO",
        "enumeration_date": "2006-06-04",
        "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": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "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": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 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.