Provider Demographics
NPI:1346526100
Name:AMERICAN MEDICAL DIAGNOSTIC SERVICES INC
Entity Type:Organization
Organization Name:AMERICAN MEDICAL DIAGNOSTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DALJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:BATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-751-4954
Mailing Address - Street 1:11475 MAPLE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-6391
Mailing Address - Country:US
Mailing Address - Phone:734-751-4954
Mailing Address - Fax:
Practice Address - Street 1:11475 MAPLE VALLEY DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-6391
Practice Address - Country:US
Practice Address - Phone:734-751-4954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine TechnologyGroup - Single Specialty
No246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Single Specialty