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Medical Diagnostic Services Inc

Physiological Laboratory in Waterford, MI · enumerated 2008 · authorized official Shams Siddiqui, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225294317

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Registry record

Entity type Organization (Type 2)
Legal business name Medical Diagnostic Services Inc
Parent organization Medical Diagnostic Services Inc
Practice address 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI, 48328
Phone (248) 499-7618
Fax (248) 499-7644
Enumeration date Jul 29, 2008
Last updated in NPPES Nov 3, 2014

Taxonomy & classification

293D00000X Physiological Laboratory Laboratories Primary

Authorized official

Name Shams Siddiqui
Title President
Phone (847) 626-0800

Other identifiers

Identifier Type State Issuer
0F38711 Other MI BCBSM

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-11-03. Verify at npiregistry.cms.hhs.gov.
Where is Medical Diagnostic Services Inc located?
The practice location on file with NPPES is in Waterford, MI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-11-03.