CLINTON DIAGNOSTIC LLC NPI 1194854224

NPI Information

  • NPI: 1194854224
  • Provider Name: CLINTON DIAGNOSTIC, LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 43475 DALCOMA DR
    SUITE 120
    CLINTON TOWNSHIP, MI
    ZIP 48038
  • Phone: (586) 226-4147

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NPI Details

CLINTON DIAGNOSTIC, LLC is a radiology clinic center in Clinton Township, MI. CLINTON DIAGNOSTIC, LLC NPI is 1194854224. The provider is registered as an organization entity type.

The provider's business location address is:

43475 DALCOMA DR
SUITE 120
CLINTON TOWNSHIP, MI
ZIP 48038-591
Phone: (586) 226-4147

The provider's authorized official is Antonio Bouffard .
The authorized official title is Medical Director and has the following contact phone number (586) 226-4147.

The enumeration date for this NPI number is 3/5/2007 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
1261QR0200XClinic/CenterRadiologyYes

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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