LAKESHORE DIAGNOSTICS ULTRASOUND CO. NPI 1598746919

NPI Information

NPI: 1598746919
Provider Name: LAKESHORE DIAGNOSTICS ULTRASOUND CO.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1003 WOODSIDE AVE
ESSEXVILLE, MI
ZIP 48732
Phone: (989) 892-8444
Get Directions

LAKESHORE DIAGNOSTICS ULTRASOUND CO. is a diagnostic radiology radiology in Essexville, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LAKESHORE DIAGNOSTICS ULTRASOUND CO. NPI is 1598746919. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1003 WOODSIDE AVE
ESSEXVILLE, MI
ZIP 48732-234
Phone: (989) 892-8444
Fax: (989) 892-7455

The provider's authorized official is William E Berner .
The authorized official title is President and has the following contact phone number (989) 892-8444.

The enumeration date for this NPI number is 11/11/2005 and was last updated on 2/7/2013.

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

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	113012847	MEDICAID	MICHIGAN
2	718550205	MEDICAID	MISSOURI
3	310Z910630	OTHER	MICHIGAN	BLUE CROSS UPIN
4	000093007	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI
5	0M75580	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
6	4997089	MEDICAID	MICHIGAN
7	3012847	MEDICAID	MICHIGAN
8	104997089	MEDICAID	MICHIGAN
9	0M77580	MEDICARE PIN	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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