MACOMB MAGNETIC RESONANCE IMAGING CENTER INC NPI 1235133141

NPI Information

NPI: 1235133141
Provider Name: MACOMB MAGNETIC RESONANCE IMAGING CENTER INC

Doing Business As: MACOMB MRI CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
8956 RELIABLE PARKWAY
CHICAGO, IL
ZIP 60686
Phone: (586) 566-1590
Get Directions

MACOMB MAGNETIC RESONANCE IMAGING CENTER INC is a diagnostic radiology radiology in Chicago, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MACOMB MAGNETIC RESONANCE IMAGING CENTER INC NPI is 1235133141. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Macomb Mri Center.

The provider's business location address is:

8956 RELIABLE PARKWAY
CHICAGO, IL
ZIP 60686-001
Phone: (586) 566-1590
Fax: (586) 498-1559

The provider's authorized official is Carol Zupan .
The authorized official title is Administrative Director and has the following contact phone number (586) 435-2031.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 3/21/2012.

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	2085R0202X	Radiology	Diagnostic Radiology	2085R0202X	MICHIGAN	Yes

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	2377411	OTHER	MICHIGAN	AETNA HMO
2	300E06180	OTHER	MICHIGAN	BLUE CROSS
3	P82732	OTHER	MICHIGAN	BLUE CARE NETWORK
4	8332744	OTHER	MICHIGAN	AETNA PPO
5	1011238 0001	OTHER	MICHIGAN	WELLNESS PLAN
6	104904	OTHER	MICHIGAN	PREFERRED CHOICES
7	148900	OTHER	MICHIGAN	GREAT LAKES HEALTH PLAN
8	RA820057	OTHER	MICHIGAN	M CARE
9	0N40480	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	IDTF PROVIDER NUMBER
10	029324	OTHER	MICHIGAN	CHAMPUS TRICARE
11	84784A	OTHER	MICHIGAN	HEALTH ALLIANCE PLAN

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

NPI Synchronization or Removal

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