ST JOHN HOSPITAL AND MEDICAL CENTER NPI 1750546446

NPI Information

NPI: 1750546446
Provider Name: ST JOHN HOSPITAL AND MEDICAL CENTER

Doing Business As: SHORES DIAGNOSTIC CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
20225 E 9 MILE RD
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 775-4711
Get Directions

ST JOHN HOSPITAL AND MEDICAL CENTER is a diagnostic radiology radiology in Saint Clair Shores, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ST JOHN HOSPITAL AND MEDICAL CENTER NPI is 1750546446. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shores Diagnostic Center.

The provider's business location address is:

20225 E 9 MILE RD
SAINT CLAIR SHORES, MI
ZIP 48080-775
Phone: (586) 775-4711
Fax: (586) 775-4050

The provider's authorized official is Jennifer Johnson .
The authorized official title is Director and has the following contact phone number (877) 996-9975.

The enumeration date for this NPI number is 7/23/2008 and was last updated on 1/27/2011.

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 State	Primary
1	2471M2300X	Radiologic Technologist	Mammography	MICHIGAN	No
2	2471C3402X	Radiologic Technologist	Radiography	MICHIGAN	No
3	2471N0900X	Radiologic Technologist	Nuclear Medicine Technology	MICHIGAN	No
4	2471S1302X	Radiologic Technologist	Sonography	MICHIGAN	No
5	2471V0105X	Radiologic Technologist	Vascular Sonography	MICHIGAN	No
6	2085D0003X	Radiology	Diagnostic Neuroimaging	MICHIGAN	No
7	2085N0700X	Radiology	Neuroradiology	MICHIGAN	No
8	2085N0904X	Radiology	Nuclear Radiology	MICHIGAN	No
9	2085P0229X	Radiology	Pediatric Radiology	MICHIGAN	No
10	2085R0204X	Radiology	Vascular & Interventional Radiology	MICHIGAN	No
11	2085U0001X	Radiology	Diagnostic Ultrasound	MICHIGAN	No
12	2471B0102X	Radiologic Technologist	Bone Densitometry	MICHIGAN	No
13	2085R0202X	Radiology	Diagnostic Radiology	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	310E020840	OTHER	MICHIGAN	BCBSM GROUP NUMBER
2	0N40170	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »