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Medical Diagnostic Services Inc

NPI 1225294317ActiveOrganization· Physiological Laboratory· Waterford, MI

Physiological Laboratory in Waterford, Michigan, registered in NPPES in July 2008, part of Medical Diagnostic Services Inc. The authorized official on file is Shams Siddiqui, President. Medicare paid $172,653 for services to 1,861 patients in 2024.

Overview

NPI1225294317
StatusActive
Entity typeOrganization (subpart)
Parent organizationMedical Diagnostic Services Inc
NPI issuedJul 29, 2008
Last updated in NPPESNov 3, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Physiological Laboratory Primary293D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (MI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients1,861
Services billed2,549 across 22 procedure codes
Paid by Medicare$172,653

Medicare sources and data years