MID MICHIGAN DIAGNOSTIC CORP NPI 1285800417

NPI Information

  • NPI: 1285800417
  • Provider Name: MID MICHIGAN DIAGNOSTIC CORP
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Other Name: MID MICHIGAN DIAGNOSTICS
  • Address: 1309 S LINDEN RD STE A
    FLINT, MI
    ZIP 48532
  • Phone: (810) 606-0656

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NPI Details

MID MICHIGAN DIAGNOSTIC CORP is a neurology psychiatry neurology in Flint, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MID MICHIGAN DIAGNOSTIC CORP NPI is 1285800417. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mid Michigan Diagnostics.

The provider's business location address is:

1309 S LINDEN RD STE A
FLINT, MI
ZIP 48532-443
Phone: (810) 606-0656
Fax: (810) 606-0662

The provider's authorized official is Zakwan Aboudane .
The authorized official title is Manager and has the following contact phone number (810) 606-0656.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 1/24/2017.

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
1207RS0012XInternal MedicineSleep Medicine4301084975MICHIGANNo
22084N0400XPsychiatry & NeurologyNeurologyKH072133MICHIGANYes

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
1104809895MEDICAIDMICHIGAN
20P29540MEDICARE PINMICHIGAN
3105207154MEDICAIDMICHIGAN

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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