MICHIGAN DIAGNOSTIC, LLC (NPI# 1508195835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508195835 |
| Entity Type | Organization |
| Organization Name | MICHIGAN DIAGNOSTIC, LLC |
| Practice Address |
18161 W 13 Mile Rd Suite E3 Southfield MI 48076-1113 |
| Practice Telephone | 2485935246 |
| Practice Fax Number | 2485935984 |
| Mailing Telephone | 2485935246 |
| Mailing Fax Number | 2485935984 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |
| Authorized Official Name | MR. MUHAMMAD A. BAQIR (PRESIDENT) |
| Authorized Official Telephone | 2485935246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
18161 W 13 MILE RD SUITE E3 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321287 | Lawrence C Sweet | Allergy & Immunology | 18161 W 13 Mile Rd, Suite C, Southfield, MI 48076-1113 | 2005-10-21 |
| 1023662236 | Amy Michelle Bakalar | Nurse Practitioner | 18161 W 13 Mile Rd, Southfield, MI 48076-1113 | 2019-07-25 |
| 1033588082 | Total Recovery Physical Therapy LLC | Specialist | 18161 W 13 Mile Rd, Suite E 3, Southfield, MI 48076-1113 | 2015-09-21 |
| 1164829479 | Ocie Drake Jr. | Dentist | 18161 W 13 Mile Rd, Suite D-1, Southfield, MI 48076-1113 | 2014-12-02 |
| 1639573389 | Biochem Diagnostics Laboratory, Inc | Clinical Medical Laboratory | 18161 W 13 Mile Rd, Suite D3, Southfield, MI 48076-1113 | 2014-10-09 |
| 1215276092 | Dathatreya Kandagari | Physical Therapist | 18161 W 13 Mile Rd, Suite E-3, Southfield, MI 48076-1113 | 2013-02-13 |
| 1295088870 | Total Recovery Physical Therapy | Physical Therapy Assistant | 18161 W 13 Mile Rd, Suite E3, Southfield, MI 48076-1113 | 2012-10-19 |
| 1386935955 | Kathy Lynn Bashawaty | Nurse Practitioner | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 | 2011-04-29 |
| 1144536954 | Bronco Injury & Chiropractic Center, Inc. | Chiropractor | 18161 W 13 Mile Rd, Ste E3, Southfield, MI 48076-1113 | 2010-08-31 |
| 1386972859 | Creams 'n Caps, LLC | Pharmacy | 18161 W 13 Mile Rd, Suite A1, Southfield, MI 48076-1113 | 2009-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477095396 | Kaylah Turner | Technician, Other | 25616 Hickory Hill St, Southfield, MI 48033-2982 | 2016-11-09 |
| 1538611496 | Christopher Cohen I | Technician, Other | 3 Woodbridge Towne St, Southfield, MI 48075-3413 | 2016-10-26 |
| 1578014221 | Kerri Hill | Technician, Other | 20855 Lahser Rd, Apt 403, Southfield, MI 48033-4433 | 2016-10-18 |
| 1588115307 | Aaliyah Chupp | Technician, Other | 26559 Berg Rd Apt 152, Southfield, MI 48033-2461 | 2016-10-17 |
| 1851840755 | Marjorie Bennettbaldwin | Technician, Other | 21374 Stahelin Rd, Southfield, MI 48075-4144 | 2016-10-03 |
| 1376092783 | Quentin Buchanan | Technician, Other | 24944 Auburn Ln, Southfield, MI 48033-4860 | 2016-09-26 |
| 1093263857 | Michele Gardner-rutledge | Technician, Other | 23551 Sutton Dr Apt 817, Southfield, MI 48033-3348 | 2016-09-21 |
| 1144777228 | Tyiesha Scott | Technician, Other | 25332 Shiawassee Cir Apt 106, Southfield, MI 48033-3837 | 2016-09-06 |
| 1861948127 | Austyn Driver | Technician, Other | 17439 Addison St, Southfield, MI 48075-2762 | 2016-08-28 |
| 1285188730 | Anita Harper | Technician, Other | 20360 Westpointe Ct, Southfield, MI 48076-4984 | 2016-08-12 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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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.