MACOMB MAGNETIC RESONANCE IMAGING CENTER INC (NPI# 1235133141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235133141 |
Entity Type | Organization |
Organization Name | MACOMB MAGNETIC RESONANCE IMAGING CENTER INC |
Other Organization Name | MACOMB MRI CENTER |
Practice Address |
8956 Reliable Parkway Chicago IL 60686-0001 |
Mailing Address |
42700 Schoenherr Rd Ste 4 Sterling Heights MI 48313-2874 |
Practice Telephone | 5865661590 |
Practice Fax Number | 5864981559 |
Mailing Telephone | 5865661590 |
Mailing Fax Number | 5864981559 |
Enumeration Date | 2005-06-09 |
Last Update Date | 2012-03-21 |
Authorized Official Name | CAROL ZUPAN (ADMINISTRATIVE DIRECTOR) |
Authorized Official Telephone | 5864352031 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2085R0202X | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | GREAT LAKES HEALTH PLAN | 148900 | 01 |
MI | BLUE CROSS | 300E06180 | 01 |
MI | AETNA PPO | 8332744 | 01 |
MI | PREFERRED CHOICES | 104904 | 01 |
MI | CHAMPUS TRICARE | 029324 | 01 |
MI | WELLNESS PLAN | 1011238 0001 | 01 |
MI | HEALTH ALLIANCE PLAN | 84784A | 01 |
MI | M CARE | RA820057 | 01 |
MI | AETNA HMO | 2377411 | 01 |
MI | BLUE CARE NETWORK | P82732 | 01 |
Other Name | Type Code |
---|---|
Macomb MRI Center | Doing Business As Name - Organization |
Street Address |
8956 RELIABLE PARKWAY |
City | CHICAGO |
State | IL |
Zip Code | 60686-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174765945 | Mclaren Oakland | Clinic/Center | 8172 Reliable Pkwy, Chicago, IL 60686-0001 | 2009-03-25 |
1053566182 | Kathryn A Davidson | Counselor | 2683 Reliable Pkwy, Chicago, IL 60686-0001 | 2008-11-17 |
1356590525 | Keith A Roberts | Optometrist | 5855 Reliable Pkwy, Chicago, IL 60686-0001 | 2008-09-12 |
1194775858 | Mandar A Pattekar | Radiology | 5200 Reliable Parkway, Chicago, IL 60686-0001 | 2006-05-11 |
1467447268 | Mark B Austin | Pathology | 6810 Reliable Pkwy, Chicago, IL 60686-0001 | 2005-09-19 |
1326042235 | Wayne Macomb Diagnostic Imaging Center Inc | Radiology | 8690 Reliable, Chicago, IL 60686-0001 | 2005-06-09 |
1528019437 | Craig A Fenton | Radiology | 5200 Reliable Parkway, Chicago, IL 60686-0001 | 2006-05-15 |
1578514543 | Stephen M Smith | Radiology | 5200 Reliable Parkway, Chicago, IL 60686-0001 | 2006-05-15 |
1134170004 | James A Mcgee | Radiology | 5200 Reliable Parkway, Chicago, IL 60686-0001 | 2006-05-15 |
1760433726 | Carter S Young | Radiology | 5200 Reliable Parkway, Chicago, IL 60686-0001 | 2006-05-15 |
Find all providers in zip 60686 |
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 |
---|---|---|---|---|
1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
1790132934 | Peter Barton Moreau | Radiology | 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 | 2016-05-18 |
1043678899 | Burce Ozgen Mocan | Radiology | 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 | 2016-02-08 |
1538552898 | Imo Ime Uko | Radiology | 4646 N Marine Dr Ste 7100, Chicago, IL 60640 | 2015-03-11 |
1962891739 | Katherine Conlon | Radiology | 240 E Huron St # 1-203, Chicago, IL 60611 | 2015-01-16 |
1861805871 | Arun Nagaraju | Radiology | 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 | 2014-06-06 |
1568873529 | Emily Ghobadi | Radiology | 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 | 2014-05-13 |
1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
Find all providers in CHICAGO |
Please comment or provide details below to improve the information on MACOMB MAGNETIC RESONANCE IMAGING CENTER INC.
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.