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PSI RADIOLOGICAL SERVICE INC NPI 1821066648


NPI Information

NPI: 1821066648
Provider Name: PSI RADIOLOGICAL SERVICE, INC
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
1320 WILKINS ST
DETROIT, MI
ZIP 48207
Phone: (313) 656-2151
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PSI RADIOLOGICAL SERVICE, INC is a portable x ray and or other portable diagnostic imaging supplier in Detroit, MI. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. PSI RADIOLOGICAL SERVICE, INC NPI is 1821066648. The provider is registered as an organization entity type.

The provider's business location address is:

1320 WILKINS ST
DETROIT, MI
ZIP 48207-802
Phone: (313) 656-2151
Fax: (313) 656-2152

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 3/8/2006 and was last updated on 5/4/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1293D00000XPhysiological LaboratoryNo
2261QR0208XClinic/CenterRadiology, MobileNo
3261QR0200XClinic/CenterRadiologyNo
4335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier24834MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10E02504OTHERMICHIGANBCBS OF MICHIGAN
2114483540MEDICAIDMICHIGAN
3470001742MEDICARE ID-TYPE UNSPECIFIEDMICHIGANRAILROAD MEDICARE
40N23230MEDICARE ID-TYPE UNSPECIFIEDMICHIGANPORTABLE XRAY PROVIDER
50P19480MEDICARE ID-TYPE UNSPECIFIEDMICHIGANPORT XRAY PROF COMPONENT
60N21180MEDICARE ID-TYPE UNSPECIFIEDMICHIGANIDTF

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

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.