OrganizationActive
Med Source Services Inc
NPI 1154643112 · Independent Medical Examiner Physician · Southfield, MI
Provider details
- NPI number
- 1154643112
- Entity type
- Organization
- Primary specialty
- Independent Medical Examiner PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clarence Dixon, President(248) 746-0882
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24901 Northwestern Hwy
Suite 205
Southfield, MI 48075-2203
Phone: (248) 357-2100
Fax: (248) 357-4272
Street-level locationGet directions
Mailing address
24901 Northwestern Hwy
Southfield, MI 48075-2203
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2010-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.