BOTSFORD MEDICAL IMAGING PC NPI 1124073762

NPI Information

NPI: 1124073762
Provider Name: BOTSFORD MEDICAL IMAGING, PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 23D2141244

Address:
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI
ZIP 48336
Phone: (248) 471-8371
Get Directions

BOTSFORD MEDICAL IMAGING, PC is a diagnostic radiology radiology in Farmington Hills, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BOTSFORD MEDICAL IMAGING, PC NPI is 1124073762. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28050 GRAND RIVER AVE
FARMINGTON HILLS, MI
ZIP 48336-919
Phone: (248) 471-8371

The provider's authorized official is Timothy Mcknight .
The authorized official title is Head Of Group and has the following contact phone number (248) 471-8371.

The CLIA number assigned to this NPI record is 23D2141244 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 2/24/2015.

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	XX25381	OTHER	MICHIGAN	HEALTHPLUS OF MI
2	RA630003	OTHER	MICHIGAN	M-CARE
3	4468121	OTHER	MICHIGAN	AETNA
4	025821	OTHER	MICHIGAN	MIDWEST HEALTH PLAN
5	0F31877	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
6	600970	OTHER	MICHIGAN	ULTIMED
7	005741	OTHER	MICHIGAN	HAP
8	506640	OTHER	MICHIGAN	PREFERRED CHOICES
9	506640	OTHER	MICHIGAN	CARE CHOICES
10	136309000	OTHER	MICHIGAN	US DEPT OF LABOR WORKCOMP

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: 11/14/2023

NPI Synchronization or Removal

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