LAKEVIEW DIAGNOSTIC SERVICES NPI 1922175082

NPI Information

NPI: 1922175082
Provider Name: LAKEVIEW DIAGNOSTIC SERVICES
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

CLIA Number: 23D2221584

Address:
21519 HARPER AVE STE 107
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 293-8700
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LAKEVIEW DIAGNOSTIC SERVICES is a radiology and mobile clinic center in Saint Clair Shores, MI. LAKEVIEW DIAGNOSTIC SERVICES NPI is 1922175082. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21519 HARPER AVE STE 107
SAINT CLAIR SHORES, MI
ZIP 48080-220
Phone: (586) 293-8700

The provider's authorized official is Frideriki Mantis .
The authorized official title is President and has the following contact phone number (586) 293-8700.

The CLIA number assigned to this NPI record is 23D2221584 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 4/12/2024.

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	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	No
2	2085R0202X	Radiology	Diagnostic Radiology	No
3	261QR0208X	Clinic/Center	Radiology, Mobile	Yes

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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