PSI RADIOLOGICAL SERVICE INC (NPI# 1972726156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972726156 |
| Entity Type | Organization |
| Organization Name | PSI RADIOLOGICAL SERVICE INC |
| Practice Address |
1320 Wilkins St Detroit MI 48207-4802 |
| Mailing Address |
547 E Jefferson Ave Detroit MI 48226-4324 |
| Practice Telephone | 3136562151 |
| Practice Fax Number | 3136562152 |
| Mailing Telephone | 3139622133 |
| Mailing Fax Number | 3139622134 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-05-02 |
| Authorized Official Name | DR. VICTOR COLLADO (RADIOLOGIST) |
| Authorized Official Telephone | 3136562151 |
| Authorized Official Credential | M.D., PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
24834 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DR MAY | AM010635 | 01 |
| MI | 114483540 | 05 | |
| MI | DR GOLDSMITH | JG006327 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326246182 | Psi Radiological Service Inc | Radiology | 503 W Grand Blvd, Detroit, MI 48216-2200 | 2007-07-03 |
| Street Address |
1320 WILKINS ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821061938 | Professional Sonocardiographic Imaging | Clinic/Center | 1320 Wilkins St, Detroit, MI 48207-4802 | 2006-02-09 |
| 1396046587 | Medical Associates LLC | Internal Medicine | 1320 Wilkins St, Detroit, MI 48207-4802 | 2010-11-04 |
| 1265655583 | Primecare Medical Centers of Michigan, P.l.l.c. | Clinic/Center | 1320 Wilkins St, Detroit, MI 48207-4802 | 2007-04-11 |
| 1821066648 | Psi Radiological Service, Inc | Physiological Laboratory | 1320 Wilkins St, Detroit, MI 48207-4802 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| 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 |
|---|---|---|---|---|
| 1194017970 | Zhen Wu | Radiology | 4646 John R St., Radiology Department, Detroit, MI 48201 | 2011-05-11 |
| 1548492028 | Joseph Ugorji | Radiology | 5766 Trumbull St Apt 112, Detroit, MI 48208-1776 | 2009-08-17 |
| 1194954867 | Nithin Thummala | Radiology | 4201 Saint Antoine St Rm 3l-8, Detroit, MI 48201-2153 | 2009-07-02 |
| 1659509305 | Sanjay N Soni | Radiology | 4201 St Antoine 9c Uhc, Detroit Medical Center, Detroit, MI 48201 | 2009-07-01 |
| 1700010311 | Pratima Karia | Radiology | 4201 Saint Antoine St # 3l8, Department of Radiology, Detroit, MI 48201-2153 | 2009-05-11 |
| 1386816288 | Roland E Gazaille IIi | Radiology | 2799 West Grand Blvd A-4 Diagnostic Radiology, Henry Ford Health System, Detroit, MI 48202-3450 | 2008-03-31 |
| 1144430422 | Khalid Kurbanali Javeri | Radiology | 2799 W Grand Blvd Ste 109, Detroit, MI 48202-2608 | 2007-05-23 |
| 1588871826 | Khurshaid Alam | Radiology | 4648 John R St, John Dingell Va Medical Center, Detroit, MI 48201-1916 | 2007-05-17 |
| 1659449395 | Matthew C. Rheinboldt | Radiology | 2799 W. Grand Blvd, Henry Ford Dept of Radiology, Detroit, MI 48202-2689 | 2006-12-01 |
| 1528077567 | Sampath Ramachandran | Radiology | 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-08-07 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on PSI RADIOLOGICAL SERVICE INC.
| 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.