ADVANCED DIAGNOSTIC MEDICAL IMAGING PC (NPI# 1639438062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639438062 |
| Entity Type | Organization |
| Organization Name | ADVANCED DIAGNOSTIC MEDICAL IMAGING PC |
| Practice Address |
19891 Parke Ln Grosse Ile MI 48138-1027 |
| Practice Telephone | 7346716677 |
| Mailing Telephone | 7346716677 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2013-03-01 |
| Authorized Official Name | MRS. ALLIE GALOVICH (BILLER) |
| Authorized Official Telephone | 2485939780 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
5101011021 | MI | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5101011021 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
19891 PARKE LN |
| City | GROSSE ILE |
| State | MI |
| Zip Code | 48138-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588227003 | Community Renovations Inc. | Contractor | 9505 Groh Rd., Suite 240, Grosse Ile, MI 48138 | 2019-04-19 |
| 1164799722 | Robert L Angellotti | General Practice | 26735 East River Rd, Grosse Ile, MI 48138 | 2011-11-28 |
| 1831471820 | A(mos) Joseph Brough | Pathology | 9801 Hawthorn Glen Drive, Grosse Ile, MI 48138 | 2011-09-15 |
| 1750446217 | Malcolm Edward Williamson | Internal Medicine | 8432 Thorntree Drive, Grosse Ile, MI 48138 | 2006-12-26 |
| 1033217856 | Tricounty Nurses Plus,llc | Licensed Practical Nurse | 8538 Island Blvd, Grosse Ile, MI 48138 | 2006-09-20 |
| 1679583298 | Lidija M Nikolovska | Social Worker | 19598 Kathron Cr, Grosse, MI 48138 | 2006-08-08 |
| 1306997127 | Anne Marie Zallakian | Surgery | 8572 Paulina Ave, Grosse Ile, MI 48138-1051 | 2007-01-16 |
| 1275824468 | 1st Assurance Billing Services LLC | Home Health | 8126 Harbor Pointe, Grosse Ile, MI 48138-1084 | 2011-04-22 |
| 1922141753 | Janice Marie Caie-lawrence | Nurse Practitioner | 8052 Odonnell Dr, Grosse Ile, MI 48138-1132 | 2007-02-14 |
| 1316554041 | Kevin Kwan | Pharmacist | 9870 Byromar Ln, Grosse Ile, MI 48138-1207 | 2020-09-27 |
| Find all providers in zip 48138 | ||||
| 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 |
|---|---|---|---|---|
| 1629357686 | Norman Joseph Shamus | Radiology | 21780 Knudsen Dr, Grosse Ile, MI 48138-1346 | 2011-08-09 |
| 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 |
| 1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1295204253 | Easy Imaging, LLC | Radiology | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2018-11-20 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1336626696 | Quantum Medical Radiology of California, P.C. | Radiology | 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 | 2018-07-19 |
| 1376072488 | Cambridge Institute of Minimally Invasive Therapies Pllc | Radiology | 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE ILE |
| Zip Code | 48138 |
Please comment or provide details below to improve the information on ADVANCED DIAGNOSTIC MEDICAL IMAGING PC.
| 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.