NPI 1902041502

Mds Digital Portable X-Ray INC

Organisation Physiological Laboratory West Allis, WI

Practice location

Address: 10300 W Lincoln Ave Suite. Ll, West Allis, WI 53227-2100
Phone: (414) 321-6666
Fax: (414) 321-6666
Mailing address: 3701 Jarvis Ave, Skokie, IL 60076-4019

Authorised official

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

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1902041502
Entity type: Organization
NPI issued: 10 Dec 2008
Record last updated: 27 Sep 2016

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.