ADVANCED MRI IMAGING, PLLC (NPI# 1295996080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295996080 |
| Entity Type | Organization |
| Organization Name | ADVANCED MRI IMAGING, PLLC |
| Practice Address |
27207 Lahser Rd Suite 101 Southfield MI 48034-2168 |
| Mailing Address |
4996 Champlain Cir W Bloomfield MI 48323-3527 |
| Practice Telephone | 2483984488 |
| Mailing Telephone | 2493984488 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | DR. ROGER B FENTON (OWNER) |
| Authorized Official Telephone | 2483984488 |
| Authorized Official Credential | DO |
| 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 |
27207 LAHSER RD SUITE 101 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669448403 | Robert D Swift | Orthopaedic Surgery | 27207 Lahser Rd, Ste 108, Southfield, MI 48034-8470 | 2006-02-23 |
| 1033676291 | Hands On Affects LLC | Physical Medicine & Rehabilitation | 27207 Lahser Rd, Southfield, MI 48034-2168 | 2019-02-25 |
| 1689031932 | Pulsar Medical Associates PC | Internal Medicine | 27207 Lahser Rd, Suite 200b, Southfield, MI 48034-2168 | 2016-01-18 |
| 1366815581 | Roberts Orthopedic Services Pllc | Orthopaedic Surgery | 27207 Lahser Rd, Suite 250, Southfield, MI 48034-2168 | 2015-11-10 |
| 1417327966 | Lahser Medical Center Pharmacy LLC | Pharmacy | 27207 Lahser Rd, Suite 102, Southfield, MI 48034-2168 | 2015-09-27 |
| 1245633411 | Platinum Care Physicians PC | Internal Medicine | 27207 Lahser Rd, Suite 250, Southfield, MI 48034-2168 | 2014-10-02 |
| 1730366840 | Dale Michael Miller | Radiologic Technologist | 27207 Lahser Rd, Ste 200b, Southfield, MI 48034-2168 | 2008-01-31 |
| 1376720490 | Kristin Noel Baxman | Radiologic Technologist | 27207 Lahser Rd, Ste 200b, Southfield, MI 48034-2168 | 2008-01-31 |
| 1972678548 | Michelle Bonita Calhoun | Internal Medicine | 27207 Lahser Rd, Suite 250, Southfield, MI 48034-2168 | 2006-11-21 |
| 1649292269 | Arthur I Bouier Jr. | Internal Medicine | 27207 Lahser Rd, Suite 250, Southfield, MI 48034-2168 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| 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 |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1083052377 | Rani Bashiti | Radiology | 16001 W. 9 Mild Rd, Southfield, MI 48075 | 2013-06-07 |
| 1740583145 | Silver Pine Imaging LLC | Radiology | 20475 W 10 Mile Rd, Southfield, MI 48075-6105 | 2010-12-08 |
| 1639497274 | Sentinel Health Staffing LLC | Radiology | 29155 Northwestern Hwy Ste 642, Southfield, MI 48034-1011 | 2010-05-06 |
| 1992866438 | Osteoporosis Testing Centers Inc | Radiology | 26206 W 12 Mile Road, Ste 103, Southfield, MI 48034 | 2006-12-12 |
| 1053428433 | Norberto Andaya Sugayan | Radiology | 5000 Town Ctr, 605, Southfield, MI 48075-1110 | 2006-08-23 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.