Mcgh Comprehensive Breast Screening Center Llc, NPI 1023187374
Diagnostic Radiology Physician in Clinton Township, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1023187374
NPI Entity Type Organization
Provider Name Mcgh Comprehensive Breast Screening Center Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 43900 Garfield Rd, Suite 202, Clinton Township, MI, US
Provider Mailing Address 43900 Garfield Rd, Suite 202, Clinton Township, MI, US, 480381128
Is Sole Proprietor? No
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Organization Official

Official Name MR. John Liston
Official Position VICE PRESIDENT OF TREASURY
Phone 586-741-4156

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License State MI
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Other Organization Name

MCRMC Comprehensive Breast Health Center
Doing Business As

Business Address

Mcgh Comprehensive Breast Screening Center Llc
43900 Garfield Rd
Suite 202

Clinton Township, MI, US

Phone: 586-412-5150
Fax: 586-412-5165

Mailing Address

Mcgh Comprehensive Breast Screening Center Llc
43900 Garfield Rd
Suite 202
Clinton Township, MI, US
ZIP 480381128
Phone: 586-412-5150
Fax: 586-412-5165

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
4458682 MI MEDICAID 05
4458691 MI MEDICAID 05
4458726 MI MEDICAID 05

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