EASTSIDE DIAGNOSTICS LLC NPI 1225640329

NPI Information

NPI: 1225640329
Provider Name: EASTSIDE DIAGNOSTICS LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
25100 KELLY RD STE B
ROSEVILLE, MI
ZIP 48066
Phone: (248) 262-7379
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EASTSIDE DIAGNOSTICS LLC is a radiology and mobile clinic center in Roseville, MI. EASTSIDE DIAGNOSTICS LLC NPI is 1225640329. The provider is registered as an organization entity type.

The provider's business location address is:

25100 KELLY RD STE B
ROSEVILLE, MI
ZIP 48066-910
Phone: (248) 262-7379

The provider's authorized official is Jennifer Watson .
The authorized official title is Administrator and has the following contact phone number (248) 709-7072.

The enumeration date for this NPI number is 8/19/2020 and was last updated on 8/19/2020.

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	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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