CLINTON DIAGNOSTIC, LLC (NPI# 1194854224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194854224 |
| Entity Type | Organization |
| Organization Name | CLINTON DIAGNOSTIC, LLC |
| Practice Address |
43475 Dalcoma Dr Suite 120 Clinton Township MI 48038-3591 |
| Practice Telephone | 5862264147 |
| Mailing Telephone | 5862264147 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANTONIO BOUFFARD (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5862264147 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
43475 DALCOMA DR SUITE 120 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-3591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013360650 | Health Delivery Inc | General Acute Care Hospital | 43475 Dalcoma Dr, 100, Clinton Township, MI 48038-3591 | 2016-07-19 |
| 1912365032 | Movement Orthopedics | Orthopaedic Surgery | 43475 Dalcoma Dr, Suite #160, Clinton Township, MI 48038-3591 | 2016-02-03 |
| 1134437684 | Blue Water Anesthesia Consultants, PC | Anesthesiology | 43475 Dalcoma Dr, Clinton Township, MI 48038-3591 | 2010-09-17 |
| 1649416231 | Clinton Partners, LLC | Clinic/Center | 43475 Dalcoma Dr, Clinton Township, MI 48038-3591 | 2009-01-02 |
| 1629279351 | Robert Lagrou | Psychiatry & Neurology | 43475 Dalcoma Dr, Clinton Township, MI 48038-3591 | 2007-05-30 |
| 1225255029 | Heather Naomi Capinjola | Physical Therapist | 43475 Dalcoma Dr, Suite 150, Clinton Township, MI 48038-3591 | 2007-04-20 |
| 1619006723 | Dalcoma Internal Medicine, Pllc | Internal Medicine | 43475 Dalcoma Dr, Suite 210, Clinton Township, MI 48038-3591 | 2007-03-05 |
| 1538298690 | Macomb Clinton Center for Wound Care and Hyperbaric Medicine. Pllc | Clinic/Center | 43475 Dalcoma Dr, Suite 150, Clinton Township, MI 48038-3591 | 2007-03-05 |
| 1245289362 | Clinton Medical Pharmacy | Pharmacy | 43475 Dalcoma Dr, Suite 110, Clinton Township, MI 48038-3591 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030068 | Copper Ridge Health PC | Clinic/Center | 4290 Copper Ridge Dr Ste 100, Traverse City, MI 49684-7256 | 2020-10-14 |
| 1043705163 | Elite Medical Diagnostics LLC | Clinic/Center | 30700 Telegraph Rd Ste 1536, Bingham Farms, MI 48025-4590 | 2018-07-01 |
| 1275022980 | Bellin Health Iron Mountain Inc | Clinic/Center | 440 Woodward Ave Ste A, Iron Mountain, MI 49801-4631 | 2018-05-08 |
| 1114416906 | Bellin Health Iron Mountain Inc | Clinic/Center | 2845 Highway Us2 and 41, Suite 202, Bark River, MI 49807 | 2018-05-07 |
| 1972092831 | Bellin Health Iron Mountain Inc | Clinic/Center | 2001 Minneapolis Ave Ste D, Gladstone, MI 49837-2060 | 2018-05-07 |
| 1437676871 | Diagnostic Solutions Pllc | Clinic/Center | 29877 Telegraph Rd Ste 400b, Southfield, MI 48034-7661 | 2017-08-25 |
| 1659769867 | Pavilion Imaging, LLC | Clinic/Center | 29201 Telegraph Rd Ste L-01, Southfield, MI 48034-1301 | 2014-12-23 |
| 1194143982 | Hurley Medical Center | Clinic/Center | 5494 S Dort Hwy, Flint, MI 48507-4483 | 2014-03-31 |
| 1003105420 | Envision Diagnostic Ultrasound Imaging LLC | Clinic/Center | 2715 Seneca St, Flint, MI 48504-5106 | 2011-04-06 |
| 1174848600 | Professional Diagnostic Imagiging Pllc | Clinic/Center | 4284 Echo Rd, Bloomfield Hills, MI 48302-1943 | 2010-03-27 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
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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.