Medical Diagnostics, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL DIAGNOSTICS, INC.

Practice address

33597 Walnut LN
Farmington Hills, MI 48331-2239

Phone

(248) 788-4105

Fax

(248) 788-4119

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Shelley J Bordelove

Title

President

Phone

(248) 788-4105

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1891882023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33597 WALNUT LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312239",
            "telephone_number": "248-788-4105",
            "fax_number": "248-788-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33597 WALNUT LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312239",
            "telephone_number": "248-788-4105",
            "fax_number": "248-788-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BORDELOVE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-788-4105",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4979750",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540F335660",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lia Laasia Medas
• Preslyn Medd
• Garret Medeiros
• Sarah Medel
• Medical Care One
• Josselyne Medina Escobar
• Naila Medina Frias
• Ibelice Medina-Hernandez
• Alicia Medina
• Allyson P Medina

• Durable Medical Equipment & Medical Supplies in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.