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EAST BELTLINE IMAGING PLC NPI 1891881066


NPI Information

NPI: 1891881066
Provider Name: EAST BELTLINE IMAGING PLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3210 EAGLE RUN DR NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 301-7500
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EAST BELTLINE IMAGING PLC is a specialist in Grand Rapids, 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. EAST BELTLINE IMAGING PLC NPI is 1891881066. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3210 EAGLE RUN DR NE
GRAND RAPIDS, MI
ZIP 49525-051
Phone: (616) 301-7500
Fax: (616) 301-3606

The provider's authorized official is Megan Taratuta .
The authorized official title is Office Manager and has the following contact phone number (616) 456-9553.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 12/5/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistHS062163MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132885OTHERMICHIGANPRIORITY HEALTH
2700D115760OTHERMICHIGANBLUE SHIELD

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

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