MEDICAL DIAGNOSTIC SERVICES INC NPI 1861648917

NPI Information

  • NPI: 1861648917
  • Provider Name: MEDICAL DIAGNOSTIC SERVICES INC
  • Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
  • Entity Type: Organization
  • Address: 4479 PONTIAC LAKE RD
    SUITE 1D
    WATERFORD, MI
    ZIP 48328
  • Phone: (248) 499-7618

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NPI Details

MEDICAL DIAGNOSTIC SERVICES INC is a portable x ray and or other portable diagnostic imaging supplier in Waterford, MI. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. MEDICAL DIAGNOSTIC SERVICES INC NPI is 1861648917. The provider is registered as an organization entity type.

The provider's business location address is:

4479 PONTIAC LAKE RD
SUITE 1D
WATERFORD, MI
ZIP 48328-059
Phone: (248) 499-7618
Fax: (248) 499-7644

The provider's authorized official is Shams Siddiqui .
The authorized official title is President and has the following contact phone number (847) 626-0800.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Set-up portable x-ray equipment (HCPCS:Q0092)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen (HCPCS:R0070)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen (HCPCS:R0075)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of ankle, 2 views (HCPCS:73600)
  • X-ray of hand, 2 views (HCPCS:73120)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of skull, 1-3 views (HCPCS:70250)
  • X-ray of collar bone (HCPCS:73000)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of shoulder blade (HCPCS:73010)
  • X-ray of entire middle and lower spine, minimum of 6 views (HCPCS:72084)

The enumeration date for this NPI number is 8/8/2008 and was last updated on 11/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10H01066OTHERMICHIGANBLUE CROSS BLUE SHIELD PIN
20F38158OTHERMICHIGANBCBS PIN
3P00658473OTHERMICHIGANRAILROAD MEDICARE PIN
4MI1727MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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