TAYLOR DIAGNOSTIC IMAGING INC (NPI# 1639196686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639196686 |
| Entity Type | Organization |
| Organization Name | TAYLOR DIAGNOSTIC IMAGING INC |
| Practice Address |
20524 W Warren Ave Detroit MI 48228-3243 |
| Practice Telephone | 3132710033 |
| Practice Fax Number | 3132710030 |
| Mailing Telephone | 3132710033 |
| Mailing Fax Number | 3132710030 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | DOMINIQUE BUCK (OWNER) |
| Authorized Official Telephone | 2483540033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSM | 0H23135 | 01 | |
| MI | PALMETTO GBA MEDICARE | DB1714 | 01 |
| Street Address |
20524 W WARREN AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48228-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1316433329 | 4 Ur Recovery Therapy, LLC | Clinic/Center | 19201 Warren St, Detroit, MI 48228 | 2018-07-03 |
| 1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
| 1043746548 | Am-pm Transportation Services LLC | Private Vehicle | 18640 Joy Road, Detroit, MI 48228 | 2017-05-04 |
| 1770023491 | Goodcompany Aop Inc | In Home Supportive Care | 8946 Prest St, Detroit, MI 48228 | 2017-02-28 |
| 1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
| 1790157774 | Shakail Bronta Hill | Adult Companion | 7729 Clayburn, Detroit, MI 48228 | 2015-10-29 |
| 1275904583 | Denarol Cunningham | Contractor | 7248 Vaughan, Detroit, MI 48228 | 2015-10-13 |
| 1023493210 | Larry Foster | Technician, Other | 9334 Memorial, Detroit, MI 48228 | 2015-07-29 |
| 1093126872 | Reza Hafezi | Chiropractor | 17600 W. Warren Ave., Detroit, MI 48228 | 2014-05-14 |
| Find all providers in zip 48228 | ||||
| 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 |
|---|---|---|---|---|
| 1194017970 | Zhen Wu | Radiology | 4646 John R St., Radiology Department, Detroit, MI 48201 | 2011-05-11 |
| 1548492028 | Joseph Ugorji | Radiology | 5766 Trumbull St Apt 112, Detroit, MI 48208-1776 | 2009-08-17 |
| 1194954867 | Nithin Thummala | Radiology | 4201 Saint Antoine St Rm 3l-8, Detroit, MI 48201-2153 | 2009-07-02 |
| 1659509305 | Sanjay N Soni | Radiology | 4201 St Antoine 9c Uhc, Detroit Medical Center, Detroit, MI 48201 | 2009-07-01 |
| 1700010311 | Pratima Karia | Radiology | 4201 Saint Antoine St # 3l8, Department of Radiology, Detroit, MI 48201-2153 | 2009-05-11 |
| 1386816288 | Roland E Gazaille IIi | Radiology | 2799 West Grand Blvd A-4 Diagnostic Radiology, Henry Ford Health System, Detroit, MI 48202-3450 | 2008-03-31 |
| 1144430422 | Khalid Kurbanali Javeri | Radiology | 2799 W Grand Blvd Ste 109, Detroit, MI 48202-2608 | 2007-05-23 |
| 1588871826 | Khurshaid Alam | Radiology | 4648 John R St, John Dingell Va Medical Center, Detroit, MI 48201-1916 | 2007-05-17 |
| 1659449395 | Matthew C. Rheinboldt | Radiology | 2799 W. Grand Blvd, Henry Ford Dept of Radiology, Detroit, MI 48202-2689 | 2006-12-01 |
| 1528077567 | Sampath Ramachandran | Radiology | 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-08-07 |
| Find all providers in DETROIT | ||||
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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.