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CENTRUM DIAGNOSTICS LLC NPI 1700066990


NPI Information

NPI: 1700066990
Provider Name: CENTRUM DIAGNOSTICS LLC
Classification: Radiologic Technologist - 247100000X
Entity Type: Organization
Address:
24901 NORTHWESTERN HWY
SUITE 205
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 746-0882
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CENTRUM DIAGNOSTICS LLC is a radiologic technologist in Southfield, MI. The provider is an individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. CENTRUM DIAGNOSTICS LLC NPI is 1700066990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24901 NORTHWESTERN HWY
SUITE 205
SOUTHFIELD, MI
ZIP 48075-203
Phone: (248) 746-0882
Fax: (248) 357-2380

The provider's authorized official is Clarence O Dixon .
The authorized official title is President and has the following contact phone number (248) 663-5311.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 11/6/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1247100000XRadiologic TechnologistYes

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: 11/14/2023

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