WAYNE MACOMB DIAGNOSTIC IMAGING CENTER INC NPI 1326042235

NPI Information

NPI: 1326042235
Provider Name: WAYNE MACOMB DIAGNOSTIC IMAGING CENTER INC

Doing Business As: WAYNE MACOMB MRI CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
8690 RELIABLE
CHICAGO, IL
ZIP 60686
Phone: (586) 775-6400
Get Directions

WAYNE MACOMB DIAGNOSTIC 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. WAYNE MACOMB DIAGNOSTIC IMAGING CENTER INC NPI is 1326042235. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wayne Macomb Mri Center.

The provider's business location address is:

8690 RELIABLE
CHICAGO, IL
ZIP 60686-001
Phone: (586) 775-6400
Fax: (586) 498-1559

The provider's authorized official is Carole 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	8331930	OTHER	MICHIGAN	AETNA PPO
2	300E06144	OTHER	MICHIGAN	BLUE CROSS
3	70097B	OTHER	MICHIGAN	HEALTH ALLIANCE PLAN
4	0525947	OTHER	MICHIGAN	AETNA HMO
5	000000005320	OTHER	MICHIGAN	CAPE MEDICAL
6	148899	OTHER	MICHIGAN	GREAT LAKES HEALTH PLAN
7	RA820051	OTHER	MICHIGAN	M CARE
8	P42884	OTHER	MICHIGAN	BLUE CARE NETWORK
9	0N40740	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	IDTF PROVIDER NUMBER
10	M015025	OTHER	MICHIGAN	CHAMPUS-TRICARE
11	104972	OTHER	MICHIGAN	PREFERRED CHOICES
12	1207380001	OTHER	MICHIGAN	WELLNESS 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

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