PEGASUS DIAGNOSTICS (NPI# 1790299964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790299964 |
Entity Type | Organization |
Organization Name | PEGASUS DIAGNOSTICS |
Practice Address |
3686 Brandi Dr Sterling Heights MI 48310-2538 |
Practice Telephone | 3133123932 |
Mailing Telephone | 3133123932 |
Enumeration Date | 2017-11-27 |
Last Update Date | 2017-11-27 |
Authorized Official Name | TOUFIQUL ISLAM (PRESIDENT/CEO) |
Authorized Official Telephone | 3133123932 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | MI | Suppliers |
Street Address |
3686 BRANDI DR |
City | STERLING HEIGHTS |
State | MI |
Zip Code | 48310-2538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730693821 | Pegasus Diagnostics Inc | Physiological Laboratory | 3686 Brandi Dr, Sterling Heights, MI 48310 | 2017-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
Find all providers in zip 48310 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396362406 | Rapid Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24450 Evergreen Rd Ste 215b, Southfield, MI 48075-5546 | 2020-07-06 |
1699232223 | Indeal LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1192 Bembridge Dr, Rochester Hills, MI 48307-5715 | 2019-03-01 |
1255692646 | Mxdiagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24901 Northwestern Hwy Ste 609, Southfield, MI 48075-2210 | 2012-06-03 |
1386972602 | Am Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 17520 W 12 Mile Road, Suite 108, Southfield, MI 48076-1945 | 2009-11-24 |
1487982922 | Bobchi Inverciones L.L.C. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3628 Shady Ridge Rd, Jackson, MI 49201-9352 | 2009-11-20 |
1912169186 | Medical Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI 48328-2059 | 2008-06-30 |
1114118171 | Zoomx Mobile Diagnostic Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30230 Orchard Lake Rd, Suite 100, Farmington Hills, MI 48334-2267 | 2007-08-06 |
1295952745 | Op Therapy, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7760 Kochville Rd, Freeland, MI 48623-8655 | 2007-04-19 |
1043344690 | Patrick W Bozarth | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 227 N 9th St, Escanaba, MI 49829-3815 | 2007-03-15 |
1346291150 | Op Therapy, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24301 Telegraph Rd, Southfield, MI 48033-3012 | 2006-05-15 |
Find all providers with the same taxonomy |
City | STERLING HEIGHTS |
Zip Code | 48310 |
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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.