OPDYKE DIAGNOSTIC CENTER PLC NPI 1881836435

NPI Information

NPI: 1881836435
Provider Name: OPDYKE DIAGNOSTIC CENTER PLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
10740 DIXIE HWY
DAVISBURG, MI
ZIP 48350
Phone: (248) 625-7007
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OPDYKE DIAGNOSTIC CENTER PLC is a specialist in Davisburg, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OPDYKE DIAGNOSTIC CENTER PLC NPI is 1881836435. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10740 DIXIE HWY
DAVISBURG, MI
ZIP 48350-123
Phone: (248) 625-7007
Fax: (248) 625-0314

The provider's authorized official is Matthew Kulick .
The authorized official title is President/owner and has the following contact phone number (248) 333-2600.

The enumeration date for this NPI number is 3/28/2009 and was last updated on 3/28/2009.

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	174400000X	Specialist				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	0P52760	MEDICARE PIN	MICHIGAN
2	700F339930	OTHER	MICHIGAN	BCBSM

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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