PSI RADIOLOGICAL SERVICE INC NPI 1508945635

NPI Information

NPI: 1508945635
Provider Name: PSI RADIOLOGICAL SERVICE, INC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
8529 E 8 MILE RD
WARREN, MI
ZIP 48089
Phone: (586) 619-7025
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PSI RADIOLOGICAL SERVICE, INC is a radiology clinic center in Warren, MI. PSI RADIOLOGICAL SERVICE, INC NPI is 1508945635. The provider is registered as an organization entity type.

The provider's business location address is:

8529 E 8 MILE RD
WARREN, MI
ZIP 48089-067
Phone: (586) 619-7025
Fax: (586) 619-7267

The provider's authorized official is Victor Collado .
The authorized official title is Radiologist and has the following contact phone number (313) 962-2133.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 4/23/2011.

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	261QM1300X	Clinic/Center	Multi-Specialty	24834	MICHIGAN	No
2	261QR0208X	Clinic/Center	Radiology, Mobile	24834	MICHIGAN	No
3	261QR0200X	Clinic/Center	Radiology	24834	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	P00295061	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	RR MEDICARE DR. GOLDSMITH
2	DE4760	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	RR MEDICARE PROF COMP
3	114483540	MEDICAID	MICHIGAN
4	0P19480	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	PROF COMP PORTABLE X-RAY
5	0H228030	OTHER	MICHIGAN	BCBS CROSSOVER
6	N19480001	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	DR. J. GOLDSMITH X-RAY PR
7	N19480002	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	DR. MAY X-RAY PROF

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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