CLARKSTON HEALTH CENTER NPI 1750327771

NPI Information

NPI: 1750327771
Provider Name: CLARKSTON HEALTH CENTER
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
5625 WATER TOWER PL
SUITE G-33
CLARKSTON, MI
ZIP 48346
Phone: (248) 620-4222
Get Directions

CLARKSTON HEALTH CENTER is a diagnostic radiology radiology in Clarkston, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CLARKSTON HEALTH CENTER NPI is 1750327771. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5625 WATER TOWER PL
SUITE G-33
CLARKSTON, MI
ZIP 48346-671
Phone: (248) 620-4222
Fax: (248) 620-4234

The provider's authorized official is Kelli K Thomas .
The authorized official title is Manager and has the following contact phone number (248) 620-4227.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 8/22/2020.

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	775305	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	7065650	OTHER	MICHIGAN	CIGNA
2	137850	OTHER	MICHIGAN	PREFERRED CHOICES
3	OF30168	OTHER	MICHIGAN	BLUE CARE NETWORK
4	OF30168	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD OF
5	000000009522	OTHER	MICHIGAN	CAPE MEDICAL
6	0996948	OTHER	MICHIGAN	HEALTH PLUS OF MI
7	137850	OTHER	MICHIGAN	CARE CHOICES
8	ON75750	OTHER	MICHIGAN	HAP
9	16442	OTHER	MICHIGAN	M-CARE

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

NPI Synchronization or Removal

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