Provider Demographics
NPI:1669583324
Name:MEDICAL DIAGNOSTIC SOLUTIONS, INC.
Entity type:Organization
Organization Name:MEDICAL DIAGNOSTIC SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-692-8001
Mailing Address - Street 1:7741 N KINGS HWY STE C
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572-3042
Mailing Address - Country:US
Mailing Address - Phone:843-692-8001
Mailing Address - Fax:843-449-8858
Practice Address - Street 1:7741C N KINGS HWY
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-3042
Practice Address - Country:US
Practice Address - Phone:843-692-8001
Practice Address - Fax:843-449-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7701946Medicaid
SCDE1016Medicaid
SC1134290001Medicare ID - Type Unspecified