PSI RADIOLOGICAL SERVICE INC NPI 1972726156

NPI Information

NPI: 1972726156
Provider Name: PSI RADIOLOGICAL SERVICE INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1320 WILKINS ST
DETROIT, MI
ZIP 48207
Phone: (313) 656-2151
Get Directions

PSI RADIOLOGICAL SERVICE INC is a diagnostic radiology radiology in Detroit, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PSI RADIOLOGICAL SERVICE INC NPI is 1972726156. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1320 WILKINS ST
DETROIT, MI
ZIP 48207-802
Phone: (313) 656-2151
Fax: (313) 656-2152

The provider's authorized official is Victor Collado .
The authorized official title is Radiologist and has the following contact phone number (313) 656-2151.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 5/2/2011.

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	24834	MICHIGAN	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	F19395	MEDICARE UPIN	MICHIGAN
2	114483531	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	DR MAY
3	114483540	MEDICAID	MICHIGAN
4	AM010635	OTHER	MICHIGAN	DR MAY
5	JG006327	OTHER	MICHIGAN	DR GOLDSMITH
6	P19480001	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	DR GOLDSMITH
7	N2118006	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	DR GOLDSMITH
8	G14289	MEDICARE UPIN	MICHIGAN
9	P00295061	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	RR MC DR GOLDSMITH
10	P19480002	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	DR MAY
11	N21180005	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	DR MAY

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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