SOUTHFIELD RADIOLOGY ASSOCIATES PLLC NPI 1871525915

NPI Information

NPI: 1871525915
Provider Name: SOUTHFIELD RADIOLOGY ASSOCIATES PLLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
23100 PROVIDENCE DR
SUITE 420
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 569-4353
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SOUTHFIELD RADIOLOGY ASSOCIATES PLLC is a diagnostic radiology radiology in Southfield, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTHFIELD RADIOLOGY ASSOCIATES PLLC NPI is 1871525915. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23100 PROVIDENCE DR
SUITE 420
SOUTHFIELD, MI
ZIP 48075-646
Phone: (248) 569-4353
Fax: (248) 569-5227

The provider's authorized official is Roger L Gonda .
The authorized official title is President and has the following contact phone number (248) 569-4353.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 11/21/2007.

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	0F36131	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
2	A3477	OTHER	MICHIGAN	RAILROAD MEDICARE
3	0F36090	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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