MCGH COMPREHENSIVE BREAST SCREENING CENTER LLC NPI 1023187374

NPI Information

NPI: 1023187374
Provider Name: MCGH COMPREHENSIVE BREAST SCREENING CENTER LLC

Doing Business As: MCRMC COMPREHENSIVE BREAST HEALTH CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
43900 GARFIELD RD
SUITE 202
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 412-5150
Get Directions

MCGH COMPREHENSIVE BREAST SCREENING CENTER LLC is a diagnostic radiology radiology in Clinton Township, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MCGH COMPREHENSIVE BREAST SCREENING CENTER LLC NPI is 1023187374. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mcrmc Comprehensive Breast Health Center.

The provider's business location address is:

43900 GARFIELD RD
SUITE 202
CLINTON TOWNSHIP, MI
ZIP 48038-128
Phone: (586) 412-5150
Fax: (586) 412-5165

The provider's authorized official is John Liston .
The authorized official title is Vice President Of Treasury and has the following contact phone number (586) 741-4156.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 6/19/2008.

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		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
1	4458691	MEDICAID	MICHIGAN
2	4458726	MEDICAID	MICHIGAN
3	0N78930	MEDICARE PIN
4	0N78920	MEDICARE PIN
5	4458682	MEDICAID	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »