RADIATION THERAPY ASSOCIATES PC NPI 1154419430

NPI Information

NPI: 1154419430
Provider Name: RADIATION THERAPY ASSOCIATES PC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
6255 INKSTER RD
STE B7
GARDEN CITY, MI
ZIP 48135
Phone: (734) 522-8540
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RADIATION THERAPY ASSOCIATES PC is a radiation oncology radiology in Garden City, MI. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. RADIATION THERAPY ASSOCIATES PC NPI is 1154419430. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6255 INKSTER RD
STE B7
GARDEN CITY, MI
ZIP 48135-577
Phone: (734) 522-8540
Fax: (734) 522-5405

The provider's authorized official is Ronald C Lutsic .
The authorized official title is Owner and has the following contact phone number (734) 522-8540.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/22/2020.

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	2085R0001X	Radiology	Radiation Oncology	5101008299	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	1674558	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

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