CENTER ROAD SCANNER LLC NPI 1154338051

NPI Information

NPI: 1154338051
Provider Name: CENTER ROAD SCANNER LLC
Classification: Radiology - 2085N0700X
Entity Type: Organization

Specialization: Neuroradiology

Address:
4001 WALLI STRASSE
STE A
BURTON, MI
ZIP 48509
Phone: (810) 742-4022
Get Directions

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 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	4301042515	MICHIGAN	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	4301034123	MICHIGAN	X
3	2085R0202X	Radiology	Diagnostic Radiology	4301031588	MICHIGAN	X
4	2085R0202X	Radiology	Diagnostic Radiology	4301057046	MICHIGAN	X
5	2085R0202X	Radiology	Diagnostic Radiology	4301034675	MICHIGAN	X
6	2085R0202X	Radiology	Diagnostic Radiology	4301037709	MICHIGAN	X
7	2085R0202X	Radiology	Diagnostic Radiology	4301046932	MICHIGAN	X
8	2085R0202X	Radiology	Diagnostic Radiology	4301406912	MICHIGAN	X
9	2085R0204X	Radiology	Vascular & Interventional Radiology	4301037112	MICHIGAN	X

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	3OOB51210	OTHER	MICHIGAN	BCBSM 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: 5/5/2024

NPI Synchronization or Removal

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