BEAUMONT SPECIAL RADIOLOGICAL PROCEDURES NPI 1043220205

NPI Information

NPI: 1043220205
Provider Name: BEAUMONT SPECIAL RADIOLOGICAL PROCEDURES
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3601 W THIRTEEN MILE RD
ROYAL OAK, MI
ZIP 48073
Phone: (248) 898-6064
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BEAUMONT SPECIAL RADIOLOGICAL PROCEDURES is a diagnostic radiology radiology in Royal Oak, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BEAUMONT SPECIAL RADIOLOGICAL PROCEDURES NPI is 1043220205. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3601 W THIRTEEN MILE RD
ROYAL OAK, MI
ZIP 48073
Phone: (248) 898-6064
Fax: (248) 898-5490

The provider's authorized official is Duane G. Mezwa .
The authorized official title is Chief Of Rad Dept/program Director and has the following contact phone number (248) 898-6064.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 6/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OH26354	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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