SOUTHEAST MICHIGAN IMAGING SERVICES LLC (NPI# 1194191700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194191700 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MICHIGAN IMAGING SERVICES LLC |
| Practice Address |
15201 Century Dr Suite 606 Dearborn MI 48120-1232 |
| Practice Telephone | 3134278660 |
| Practice Fax Number | 3134278667 |
| Mailing Telephone | 3134278660 |
| Mailing Fax Number | 3134278667 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | MR. ERIC OTT (CEO) |
| Authorized Official Telephone | 3134278660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
15201 CENTURY DR SUITE 606 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48120-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174966311 | Michigan Technology Partners LLC | Clinic/Center | 15201 Century Dr, Suite 606, Dearborn, MI 48120-1232 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649655838 | Jeffrey Leonard Bachynski | Social Worker | 15200 Mercantile, Dearborn, MI 48120 | 2015-07-29 |
| 1518369412 | Raed Haddad Md, Pllc | Internal Medicine | 9720 Dix Ste B, Dearborn, MI 48120 | 2014-09-23 |
| 1083902217 | Lena Sarsam | Physician Assistant | 10306 Dix Ave., Dearborn, MI 48120 | 2011-07-21 |
| 1023314341 | Dearborn Internist P.C. | Internal Medicine | 10066 Dix Ave, Suite 100, Dearborn, MI 48120 | 2011-02-03 |
| 1003027897 | Hooverrx | Pharmacist | 1363 Salina St, Dearborn, MI 48120 | 2007-05-24 |
| 1154415776 | Metro Home Health Care Plans, Inc. | Home Health | 15350 Commerce Dr. N, Ste. 200, Dearborn, MI 48120 | 2006-10-03 |
| 1356382303 | Nashereen Tootla | Physical Therapist | 10066 Dix Rd, Deaborn, MI 48120 | 2006-06-09 |
| 1356886303 | Samatha Lee Stone | Behavioral Analyst | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120 | 2016-12-29 |
| 1225479421 | Tiffany Ann Murray | Social Worker | 15350 N Commerce Dr, Dearborn, MI 48120 | 2013-07-16 |
| 1114268562 | Frank Quinones | Social Worker | 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120 | 2013-03-11 |
| Find all providers in zip 48120 | ||||
| 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 |
|---|---|---|---|---|
| 1023360971 | Frank M Fayz Md PC | Radiology | 600 Town Center Dr, Suite 1275, Dearborn, MI 48126-2718 | 2012-10-02 |
| 1497030233 | Karl Francis Kado Jr. | Radiology | 600 Lincoln Drive, 1806, Dearborn, MI 48126 | 2011-10-12 |
| 1962683722 | Hussein Deeb Aoun | Radiology | 210 Woodcrest Dr, Dearborn, MI 48124-1162 | 2007-11-21 |
| 1457553588 | Emad Hossein Abdel Hamid | Radiology | Oakwood Hospital Medical Center, 18101 Oakwood Blvd., Dearborn, MI 48124 | 2007-06-01 |
| 1104856145 | Frank M. Fayz | Radiology | 5470 Wessex Ct, Apt 210, Dearborn, MI 48126-4270 | 2006-07-04 |
| 1891742672 | Reza Abghari | Radiology | 840 Oakwood Blvd, Dearborn, MI 48124-2319 | 2006-05-27 |
| 1679529978 | Drs. Harris, Birkhill, Wang, Songe and Associates, P.c | Radiology | 840 Oakwood Blvd., Dearborn, MI 48124 | 2006-05-26 |
| 1538782461 | Andrew John Bacyinski | Radiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-05-27 |
| 1093338188 | Mohammad Rizk Abdulla | Radiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-05-22 |
| 1043831852 | Michael Walter Ramalia Jr. | Radiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-05-04 |
| Find all providers in DEARBORN | ||||
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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.