CENTER ROAD SCANNER LLC NPI 1154338051

NPI Information

  • NPI: 1154338051
  • Provider Name: CENTER ROAD SCANNER LLC
  • Classification: Radiology - 2085N0700X
  • Specialization: Neuroradiology
  • Entity Type: Organization
  • Address: 4001 WALLI STRASSE
    STE A
    BURTON, MI
    ZIP 48509
  • Phone: (810) 742-4022

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NPI Details

CENTER ROAD SCANNER LLC is a neuroradiology radiology in Burton, 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. CENTER ROAD SCANNER LLC NPI is 1154338051. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4001 WALLI STRASSE
STE A
BURTON, MI
ZIP 48509
Phone: (810) 742-4022
Fax: (810) 742-4471

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 9/11/2025.

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
12085R0202XRadiologyDiagnostic Radiology4301034123MICHIGANNo
22085R0202XRadiologyDiagnostic Radiology4301031588MICHIGANNo
32085R0202XRadiologyDiagnostic Radiology4301057046MICHIGANNo
42085R0202XRadiologyDiagnostic Radiology4301034675MICHIGANNo
52085R0202XRadiologyDiagnostic Radiology4301037709MICHIGANNo
62085R0202XRadiologyDiagnostic Radiology4301046932MICHIGANNo
72085R0202XRadiologyDiagnostic Radiology4301406912MICHIGANNo
82085R0204XRadiologyVascular & Interventional Radiology4301037112MICHIGANNo
92085N0700XRadiologyNeuroradiology4301042515MICHIGANYes

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
13OOB51210OTHERMICHIGANBCBSM PROVIDER CODE 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: 11/21/2025

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