Organization Active NPI

MDS Digital Portable X-Ray Inc

  • Physiological Laboratory
  • West Allis, WI
National Provider Identifier
1902041502
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MDS DIGITAL PORTABLE X-RAY INC
Practice address
10300 W Lincoln Ave
Suite. LL
West Allis, WI 53227-2100
Phone
(414) 321-6666
Fax
(414) 321-6666
NPI assigned
Dec 10, 2008
Organization subpart
Yes
Parent organization
MDS DIGITAL PORTABLE X-RAY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Muneer Hasan
Title
President
Phone
(847) 626-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

10300 W Lincoln Ave
Suite. LL
West Allis, WI 53227-2100

Mailing address

3701 Jarvis Ave
Skokie, IL 60076-4019
Phone (847) 626-0800

National Provider Directory

National Provider Directory
Part of
MDS Digital Portable X-Ray Inc

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1902041502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 JARVIS AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764019",
            "telephone_number": "847-626-0800",
            "fax_number": "847-626-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 W LINCOLN AVE",
            "address_2": "SUITE. LL",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272100",
            "telephone_number": "414-321-6666",
            "fax_number": "414-321-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS DIGITAL PORTABLE X-RAY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDS DIGITAL PORTABLE X-RAY INC",
        "enumeration_date": "2008-12-10",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "MUNEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-626-0800"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.