NPI 1225294317

Medical Diagnostic Services INC

Organisation Physiological Laboratory Waterford, MI

Practice location

Address: 4479 Pontiac Lake Rd Suite 1d, Waterford, MI 48328-2059
Phone: (248) 499-7618
Fax: (248) 499-7644
Mailing address: 3701 Jarvis Ave, Skokie, IL 60076-4019

Authorised official

Name: Shams Siddiqui
Title: President
Phone: (847) 626-0800

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Michigan →

Registry record

NPI: 1225294317
Entity type: Organization
NPI issued: 29 Jul 2008
Record last updated: 3 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.