UPPER PENINSULA IMAGING PC NPI 1619252442

NPI Information

NPI: 1619252442
Provider Name: UPPER PENINSULA IMAGING PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 23D2184469

Address:
901 LAKESHORE DR
ISHPEMING, MI
ZIP 49849
Phone: (906) 225-5109
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UPPER PENINSULA IMAGING PC is a diagnostic radiology radiology in Ishpeming, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. UPPER PENINSULA IMAGING PC NPI is 1619252442. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

901 LAKESHORE DR
ISHPEMING, MI
ZIP 49849-367
Phone: (906) 225-5109

The provider's authorized official is Todd K Bostwick .
The authorized official title is President and has the following contact phone number (906) 225-5109.

The CLIA number assigned to this NPI record is 23D2184469 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2011 and was last updated on 10/12/2011.

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	4301073668	MICHIGAN	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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