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COMPREHENSIVE BREAST CENTERS OF ANN ARBOR P.C. NPI 1982785804


NPI Information

NPI: 1982785804
Provider Name: COMPREHENSIVE BREAST CENTERS OF ANN ARBOR, P.C.

Former Legal Business Name: COMPREHENSIVE BREAST CENTERS OF ANN ARBOR, INC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4012 CLARK RD
ANN ARBOR, MI
ZIP 48105
Phone: (734) 677-8200
Get Directions

COMPREHENSIVE BREAST CENTERS OF ANN ARBOR, P.C. is a diagnostic radiology radiology in Ann Arbor, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. COMPREHENSIVE BREAST CENTERS OF ANN ARBOR, P.C. NPI is 1982785804. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Comprehensive Breast Centers Of Ann Arbor, Inc.

The provider's business location address is:

4012 CLARK RD
ANN ARBOR, MI
ZIP 48105
Phone: (734) 677-8200
Fax: (734) 677-8296

The provider's authorized official is Barbara Threatt .
The authorized official title is Medical Director and has the following contact phone number (734) 677-8200.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 12/22/2015.


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
1174400000XSpecialistNo
22085R0202XRadiologyDiagnostic RadiologyBT026147MICHIGANYes

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
10M30610MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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.