PREMIER DIAGNOSTICS PC – NPI #1861716508
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

PREMIER DIAGNOSTICS PC is a provider located in CANTON, MI. NPPES has assigned the NPI number 1861716508 to PREMIER DIAGNOSTICS PC on March 24, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 16 years ago on Apr 01, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMIER DIAGNOSTICS PC below.

NPI Profile for
PREMIER DIAGNOSTICS PC

NPI Number
1861716508
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMIER DIAGNOSTICS PC
Primary location
48492 INVERARAY RD
CANTON, MI 48188
Phone: (734) 341-9969 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MUSTAFA HASHEM
PRESIDENT
Phone: (743) 341-9969
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
MI 4301067758

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.