MID MICHIGAN DIAGNOSTIC CORP (NPI# 1134375611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134375611 |
| Entity Type | Organization |
| Organization Name | MID MICHIGAN DIAGNOSTIC CORP |
| Other Organization Name | MID MICHIGAN DIAGNSOTICS |
| Practice Address |
3323 Shattuck Rd Saginaw MI 48603-3184 |
| Mailing Address |
1513 S Center Rd Burton MI 48509-1728 |
| Practice Telephone | 8107428770 |
| Practice Fax Number | 8107428772 |
| Mailing Telephone | 8107428770 |
| Mailing Fax Number | 8107428772 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | MR. ZAKWAN ABOUDANE (OWNER) |
| Authorized Official Telephone | 8107428770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mid Michigan Diagnsotics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508800822 | Mid Michigan Diagnostic Corp | Internal Medicine | 1309 S Linden Rd Ste A, Flint, MI 48532-3443 | 2006-06-16 |
| 1093962342 | Mid Michigan Diagnostic Corp | Radiology | 1513 S Center Rd, Burton, MI 48509-1728 | 2008-08-19 |
| 1306092887 | Mid Michigan Diagnostic Corp | Internal Medicine | 2137 W M 61, Gladwin, MI 48624-8463 | 2008-08-15 |
| 1760638241 | Mid Michigan Diagnostic Corp | Radiology | 3400 Fleckenstein Rd, Suite D, Flint, MI 48507-3043 | 2008-08-15 |
| 1285800417 | Mid Michigan Diagnostic Corp | Internal Medicine | 1309 S Linden Rd Ste A, Flint, MI 48532-3443 | 2008-05-07 |
| Street Address |
3323 SHATTUCK RD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48603-3184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538389697 | Vikas Johri | Physical Therapist | 3323 Shattuck Rd, Suite # 2, Saginaw, MI 48603-3184 | 2007-04-30 |
| 1760029854 | Tyler Douglas Hobbs | Social Worker | 3323 Shattuck Rd, Saginaw, MI 48603-3184 | 2019-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
| 1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
| 1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
| 1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| Find all providers in zip 48603 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740459767 | William Ka-lok Wong | Radiology | 3400 North Center, Suite 400, Saginaw, MI 48603-7920 | 2008-02-23 |
| 1770695983 | Randall William Holden | Radiology | 3793 Sundridge Pl, Saginaw, MI 48603-1264 | 2006-09-01 |
| 1568490050 | Cynthia Blount | Radiology | 3400 N Center Rd Ste 400, Saginaw, MI 48603-7920 | 2006-06-30 |
| 1588624183 | Peter J Tomko | Radiology | 3400 N. Center Rd, Suite 400, Saginaw, MI 48603-7920 | 2006-03-27 |
| 1528038197 | Tai Kang Sr. | Radiology | 3037 Silverwood Dr, Saginaw, MI 48603-2171 | 2006-01-25 |
| 1255324968 | Ross Thomas Waterfield | Radiology | 3400 N Center Rd, Suite 400, Saginaw, MI 48603-7920 | 2005-08-27 |
| 1588908222 | Mid Michigan Advanced Imaging LLC | Radiology | 4905 Berl Dr, Saginaw, MI 48604-2801 | 2012-11-19 |
| 1700140068 | Michael William Warren | Radiology | 3400 N Center Rd, Saginaw, MI 48603 | 2012-07-01 |
| 1851688733 | Kristi Marie Murphy | Radiology | 3400 N Center Rd Ste 400, Saginaw, MI 48603-7920 | 2011-06-29 |
| 1356675094 | Covenant Services Corporation | Radiology | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2009-09-29 |
| Find all providers in SAGINAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.