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PARK PLAZA RADIOLOGY INC NPI 1982611224


NPI Information

NPI: 1982611224
Provider Name: PARK PLAZA RADIOLOGY, INC
Classification: Nuclear Medicine - 207U00000X
Entity Type: Organization

CLIA Number: 23D1014890

Address:
G 1071 N BALLENGER HWY
SUITE 102
FLINT, MI
ZIP 48504
Phone: (810) 235-0668
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PARK PLAZA RADIOLOGY, INC is a nuclear medicine in Flint, MI. The provider is a nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone PARK PLAZA RADIOLOGY, INC NPI is 1982611224. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

G 1071 N BALLENGER HWY
SUITE 102
FLINT, MI
ZIP 48504
Phone: (810) 235-0668
Fax: (810) 235-8928

The provider's authorized official is Apparao Mukkamala .
The authorized official title is President and has the following contact phone number (810) 424-4761.

The CLIA number assigned to this NPI record is 23D1014890 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 8/22/2020.


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
1207U00000XNuclear Medicine4301031703MICHIGANYes
22085N0700XRadiologyNeuroradiology4301042515MICHIGANX
32085R0202XRadiologyDiagnostic Radiology4301031588MICHIGANX
42085R0202XRadiologyDiagnostic Radiology4301034123MICHIGANX
52085R0202XRadiologyDiagnostic Radiology4301057046MICHIGANX
62085R0202XRadiologyDiagnostic Radiology4301034675MICHIGANX
72085R0202XRadiologyDiagnostic Radiology4301037709MICHIGANX
82085R0202XRadiologyDiagnostic Radiology4301046932MICHIGANX
92085R0202XRadiologyDiagnostic Radiology4301406912MICHIGANX
102085R0204XRadiologyVascular & Interventional Radiology4301037112MICHIGANX

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
10B56014OTHERMICHIGANBCBS COMMON PROVIDER CODE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.