ASCENSION MEDICAL GROUP GENESYS NPI 1205304888

NPI Information

NPI: 1205304888
Provider Name: ASCENSION MEDICAL GROUP GENESYS

Doing Business As: ASCENSION GENESYS AMBULATORY IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1096 S BELSAY RD STE J
BURTON, MI
ZIP 48509
Phone: (810) 715-0803
Get Directions

ASCENSION MEDICAL GROUP GENESYS is a diagnostic radiology radiology in Burton, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ASCENSION MEDICAL GROUP GENESYS NPI is 1205304888. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ascension Genesys Ambulatory Imaging.

The provider's business location address is:

1096 S BELSAY RD STE J
BURTON, MI
ZIP 48509-948
Phone: (810) 715-0803
Fax: (810) 715-0824

The provider's authorized official is Randolph Kummler .
The authorized official title is Ceo and has the following contact phone number (810) 424-2136.

The enumeration date for this NPI number is 11/13/2018 and was last updated on 8/18/2020.

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	2085R0202X	Radiology	Diagnostic Radiology			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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