MDS DIGITAL PORTABLE X-RAY INC NPI 1962523696

NPI Information

  • NPI: 1962523696
  • Provider Name: MDS DIGITAL PORTABLE X-RAY INC
  • Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
  • Entity Type: Organization
  • Address: 10300 W LINCOLN AVE
    SUITE LL
    WEST ALLIS, WI
    ZIP 53227
  • Phone: (414) 321-6666

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NPI Details

MDS DIGITAL PORTABLE X-RAY INC is a portable x ray and or other portable diagnostic imaging supplier in West Allis, WI. 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. MDS DIGITAL PORTABLE X-RAY INC NPI is 1962523696. The provider is registered as an organization entity type.

The provider's business location address is:

10300 W LINCOLN AVE
SUITE LL
WEST ALLIS, WI
ZIP 53227-100
Phone: (414) 321-6666
Fax: (888) 734-0535

The provider's authorized official is Muneer Hasan .
The authorized official title is President and has the following contact phone number (773) 544-1249.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 7/21/2022.

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
1291U00000XClinical Medical LaboratoryWISCONSINNo
2335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierXM 111590WISCONSINYes

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
142508600MEDICAIDWISCONSIN

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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