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BALLENGER ROAD SCANNER LLC NPI 1083621981


NPI Information

NPI: 1083621981
Provider Name: BALLENGER ROAD SCANNER LLC
Classification: Radiology - 2085N0700X
Entity Type: Organization

Specialization: Neuroradiology

Address:
G 1071 N BALLENGER HWY
SUITE 104
FLINT, MI
ZIP 48504
Phone: (810) 235-0668
Get Directions

BALLENGER ROAD SCANNER LLC is a neuroradiology radiology in Flint, MI. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. BALLENGER ROAD SCANNER LLC NPI is 1083621981. 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 104
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 enumeration date for this NPI number is 8/2/2006 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
12085N0700XRadiologyNeuroradiology4301042515MICHIGANYes
22085R0202XRadiologyDiagnostic Radiology4301034123MICHIGANX
32085R0202XRadiologyDiagnostic Radiology4301031588MICHIGANX
42085R0202XRadiologyDiagnostic Radiology4301057046MICHIGANX
52085R0202XRadiologyDiagnostic Radiology4301034675MICHIGANX
62085R0202XRadiologyDiagnostic Radiology4301037709MICHIGANX
72085R0202XRadiologyDiagnostic Radiology4301046932MICHIGANX
82085R0202XRadiologyDiagnostic Radiology4301406912MICHIGANX
92085R0204XRadiologyVascular & 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
1300B51209OTHERMASSACHUSETTSBCBSM COMMON PROVIDER NO.

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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