PROFESSIONAL DIAGNOSTIC IMAGIGING PLLC NPI 1174848600

NPI Information

NPI: 1174848600
Provider Name: PROFESSIONAL DIAGNOSTIC IMAGIGING PLLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
4284 ECHO RD
BLOOMFIELD HILLS, MI
ZIP 48302
Phone: (248) 703-7639
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PROFESSIONAL DIAGNOSTIC IMAGIGING PLLC is a radiology clinic center in Bloomfield Hills, MI. PROFESSIONAL DIAGNOSTIC IMAGIGING PLLC NPI is 1174848600. The provider is registered as an organization entity type.

The provider's business location address is:

4284 ECHO RD
BLOOMFIELD HILLS, MI
ZIP 48302-943
Phone: (248) 703-7639

The provider's authorized official is Syed M Khan .
The authorized official title is Owner and has the following contact phone number (248) 703-7639.

The enumeration date for this NPI number is 3/27/2010 and was last updated on 3/27/2010.

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	261QR0200X	Clinic/Center	Radiology	4301040806	MICHIGAN	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	PENDING	MEDICARE PIN

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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