| Organization Name: | MICHIGAN DIAGNOSTIC SERVICES, INC |
| NPI Number: | 1003084468 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWIN J SOLER (OWNER/PRESIDENT) |
| Mailing Address: | 20927 Kelly Rd Eastpointe |
| State: | MI US |
| Postal Code: | 480213128 |
| Phone Number: | 5864479729 |
| Fax Number: | 5864479736 |
| NPI Enumeration Date: | 02/19/2008 |
| NPI Last Update Date: | 05/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |