NDS RADIOLOGY PLLC (NPI# 1649418211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649418211 |
| Entity Type | Organization |
| Organization Name | NDS RADIOLOGY PLLC |
| Other Organization Name | NATIONAL DIAGNOSTIC SERVICES |
| Practice Address |
39595 W. 10 Mile Rd Suite 102 Novi MI 48375 |
| Practice Telephone | 2484766980 |
| Practice Fax Number | 2484767462 |
| Mailing Telephone | 2484766980 |
| Mailing Fax Number | 2484767462 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2016-06-10 |
| Authorized Official Name | MR. MICHAEL KETSLAKH (CEO) |
| Authorized Official Telephone | 2484766980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| National Diagnostic Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548259948 | Nds Radiology Pllc | Clinic/Center | 39595 W 10 Mile Rd, Suite 102, Novi, MI 48375-2948 | 2005-10-18 |
| Street Address |
39595 W. 10 MILE RD SUITE 102 |
| City | NOVI |
| State | MI |
| Zip Code | 48375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| 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 |
|---|---|---|---|---|
| 1396087797 | Eric Kurt Rinker | Radiology | 26850 Providence Pkwy Ste 140, Novi, MI 48374-1253 | 2013-03-23 |
| 1376808493 | Dana Lowenthal | Radiology | 22249 Solomon Blvd, #124, Novi, MI 48375-5076 | 2012-07-05 |
| 1427291186 | Jeremy Feldman | Radiology | 40736 Kingsley Ln, Novi, MI 48377-1633 | 2009-04-10 |
| 1619911575 | Jeffrey H Miller | Radiology | 25500 Meadowbrook Rd Ste 215, Novi, MI 48375 | 2006-06-15 |
| 1285692749 | Richard J Taras | Radiology | 24285 Karim Blvd, Novi, MI 48375-2952 | 2006-05-03 |
| 1184627945 | Allen J Russell | Radiology | 36923 Schoolcraft Rd, Novi, MI 48375-2416 | 2005-05-24 |
| 1851459572 | Triad Diagnostic Technologies, L.L.C. | Radiology | 39625 Lewis Dr, Suite 200, Novi, MI 48377-2972 | 2006-12-05 |
| 1205841640 | Advanced Vein Therapies Pllc | Radiology | 25500 Meadowbrook Rd Ste 215, Novi, MI 48375-1882 | 2006-07-31 |
| 1962452631 | Richard J. Taras Do PC | Radiology | 24285 Karim Blvd, Novi, MI 48375 | 2006-05-11 |
| 1619935152 | Josephine Joann Finazzo | Radiology | 24285 Karim Blvd, Novi, MI 48375-2952 | 2006-05-03 |
| Find all providers in NOVI | ||||
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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.