WILLIAM BEAUMONT HOSPITAL NPI 1104875426

NPI Information

  • NPI: 1104875426
  • Provider Name: WILLIAM BEAUMONT HOSPITAL
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: BEAUMONT PROFESSIONAL SERVICES DXRADIOLOGY
  • Address: 3601 W 13 MILE RD
    ROYAL OAK, MI
    ZIP 48073
  • Phone: (248) 585-8271

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NPI Details

WILLIAM BEAUMONT HOSPITAL 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. WILLIAM BEAUMONT HOSPITAL NPI is 1104875426. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Beaumont Professional Services Dxradiology.

The provider's business location address is:

3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073-712
Phone: (248) 585-8271
Fax: (248) 585-8266

The provider's authorized official is Lee Ann Odom .
The authorized official title is President Shared Services and has the following contact phone number (947) 522-3326.

The enumeration date for this NPI number is 5/6/2006 and was last updated on 10/1/2021.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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
10F36248OTHERMICHIGANBCBSM
20F36242OTHERMICHIGANBCBSM

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: 3/30/2025

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