KKL RADIOLOGY, PLLC (NPI# 1922419340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922419340 |
| Entity Type | Organization |
| Organization Name | KKL RADIOLOGY, PLLC |
| Practice Address |
3781 Indian Trl Orchard Lake MI 48324-1626 |
| Practice Telephone | 2482256909 |
| Mailing Telephone | 2482256909 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-12-19 |
| Authorized Official Name | MONIK LALA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3139455450 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301082568 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3781 INDIAN TRL |
| City | ORCHARD LAKE |
| State | MI |
| Zip Code | 48324-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325293 | Sparr Nutrition Services LLC | Dietitian, Registered | 1957 Midchester Drive, Westbloomfield, MI 48324 | 2017-09-18 |
| 1700308632 | Jennifer Dulchavsky | Counselor | 3538 Winterberry, West Bloomfield, MI 48324 | 2017-07-12 |
| 1659641645 | Neogenomics Laboratories Inc | Pathology | 6455 Mission, West Bloomfield, MI 48324 | 2012-01-06 |
| 1538495551 | Joseph S. Dulka | Psychiatry & Neurology | 3573 Elder Rd S., West Bloomfield, MI 48324 | 2009-10-27 |
| 1700041928 | Allan Jay Levine | Pathology | 2268 Forest Glen Dr, West Bloomfield, MI 48324 | 2008-07-28 |
| 1952561706 | Deepika Aggarwal | Dentist | 6259 Willow Ct, West Bloomfield, MI 48324 | 2008-06-16 |
| 1366627358 | Tatyana Kuzminsky | Nutritionist | 2486 Island View Dr, West Bloomfield, MI 48324 | 2008-01-08 |
| 1053407742 | Katherine Ann Young | Psychologist | 1943 Windside, West Bloomfield, MI 48324 | 2006-10-04 |
| 1629072038 | Alfonso Acosta | Family Medicine | 7173 Ilanaway Dr, West Bloomfield, MI 48324 | 2005-06-13 |
| 1942441142 | Patricia L Denham | Social Worker | 1916 Henbert Rd, West Bloomfield, MI 48324-1036 | 2009-03-18 |
| Find all providers in zip 48324 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ORCHARD LAKE |
| Zip Code | 48324 |
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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.