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TAHQUAMENON MEDICAL IMAGING PC NPI 1265452106


NPI Information

NPI: 1265452106
Provider Name: TAHQUAMENON MEDICAL IMAGING PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
502 W HARRIE ST
NEWBERRY, MI
ZIP 49868
Phone: (906) 293-9200
Get Directions

TAHQUAMENON MEDICAL IMAGING PC is a diagnostic radiology radiology in Newberry, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TAHQUAMENON MEDICAL IMAGING PC NPI is 1265452106. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

502 W HARRIE ST
NEWBERRY, MI
ZIP 49868-209
Phone: (906) 293-9200

The provider's authorized official is Stanley Rowe .
The authorized official title is President and has the following contact phone number (906) 293-9200.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 3/18/2008.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
15480003MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE
23154800035OTHERMICHIGANBLUE CROSS

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
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