PSI RADIOLOGICAL SERVICE, INC (NPI# 1912078536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912078536 |
| Entity Type | Organization |
| Organization Name | PSI RADIOLOGICAL SERVICE, INC |
| Practice Address |
8529 E 8 Mile Rd Warren MI 48089-3067 |
| Mailing Address |
547 E Jefferson Ave Detroit MI 48226-4324 |
| Practice Telephone | 5866197025 |
| Practice Fax Number | 5866197267 |
| Mailing Telephone | 3139622133 |
| Mailing Fax Number | 3139622134 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-04-23 |
| Authorized Official Name | DR. VICTOR COLLADO (RADIOLOGIST) |
| Authorized Official Telephone | 3139622133 |
| Authorized Official Credential | M.D,. PH.D |
| 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 | 24834 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS CROSSOVER | 0H228030 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508945635 | Psi Radiological Service, Inc | Clinic/Center | 8529 E 8 Mile Rd, Warren, MI 48089-3067 | 2006-11-02 |
| 1821066648 | Psi Radiological Service, Inc | Physiological Laboratory | 1320 Wilkins St, Detroit, MI 48207-4802 | 2006-03-08 |
| Street Address |
8529 E 8 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48089-3067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508945635 | Psi Radiological Service, Inc | Clinic/Center | 8529 E 8 Mile Rd, Warren, MI 48089-3067 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
| 1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| 1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
| 1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
| 1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
| 1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
| Find all providers in zip 48089 | ||||
| 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] |
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|---|---|---|---|---|
| 1053602532 | Camcade Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 200 Hill St, Warren, AR 71671-2483 | 2011-05-02 |
| 1750536454 | Paul Petre Md PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 28800 Ryan Rd, Suite 300, Warren, MI 48092-4272 | 2008-11-21 |
| 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 |
| 1790299964 | Pegasus Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3686 Brandi Dr, Sterling Heights, MI 48310-2538 | 2017-11-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.