SOUTHFIELD REHABILITATION COMPANY NPI 1477722585

NPI Information

NPI: 1477722585
Provider Name: SOUTHFIELD REHABILITATION COMPANY

Doing Business As: SURGEONS CHOICE IMAGING CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
11012 THIRTEEN MILE ROAD
SUITE 111
WARREN, MI
ZIP 48093
Phone: (586) 558-8470
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SOUTHFIELD REHABILITATION COMPANY is a diagnostic radiology radiology in Warren, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTHFIELD REHABILITATION COMPANY NPI is 1477722585. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Surgeons Choice Imaging Center.

The provider's business location address is:

11012 THIRTEEN MILE ROAD
SUITE 111
WARREN, MI
ZIP 48093-546
Phone: (586) 558-8470
Fax: (586) 558-8481

The provider's authorized official is Edward F. Burke .
The authorized official title is President and has the following contact phone number (248) 423-5111.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 12/6/2019.

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	4301046061	MICHIGAN	Yes
2	261QR0208X	Clinic/Center	Radiology, Mobile	50C656	MICHIGAN	No
3	282N00000X	General Acute Care Hospital		630013	MICHIGAN	No

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	135598501	OTHER	MICHIGAN	U.S. DEPARTMENT OF LABOR
2	283723740	MEDICAID	MICHIGAN
3	40003	OTHER	MICHIGAN	BCBS
4	032307	OTHER	MICHIGAN	MIDWEST HEALTH PLAN
5	700E021910	OTHER	MICHIGAN	BCBS OF 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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