EXCALIBUR MEDICAL IMAGING LLC NPI 1396916094

NPI Information

  • NPI: 1396916094
  • Provider Name: EXCALIBUR MEDICAL IMAGING, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 420 W MAGNETIC ST
    MARQUETTE, MI
    ZIP 49855
  • Phone: (906) 225-3540

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NPI Details

EXCALIBUR MEDICAL IMAGING, LLC is a diagnostic radiology radiology in Marquette, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EXCALIBUR MEDICAL IMAGING, LLC NPI is 1396916094. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

420 W MAGNETIC ST
MARQUETTE, MI
ZIP 49855-711
Phone: (906) 225-3540

The provider's authorized official is Aruthur J. Greene .
The authorized official title is President/owner and has the following contact phone number (906) 225-3540.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 6/5/2008.

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
12085R0202XRadiologyDiagnostic RadiologyMICHIGANYes

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
10P55470MEDICARE PINMICHIGAN
2310E211120OTHERMICHIGANBCBS OF MICHIGAN

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: 3/30/2025

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