NORTHERN RADIOLOGY ASSOCIATES PC – NPI #1063634509
Radiology

A Radiology doctor of Osteopathy that specializes in Body Imaging.

NORTHERN RADIOLOGY ASSOCIATES PC is a radiologist located in CHARLEVOIX, MI. NPPES has assigned the NPI number 1063634509 to NORTHERN RADIOLOGY ASSOCIATES PC on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085B0100X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Body Imaging

The NPI profile was previously updated about 18 years ago on May 19, 2008. 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 NORTHERN RADIOLOGY ASSOCIATES PC below.

NPI Profile for
NORTHERN RADIOLOGY ASSOCIATES PC

NPI Number
1063634509
Enumeration Date

(more than 19 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
NORTHERN RADIOLOGY ASSOCIATES PC
Primary location
14700 LAKE SHORE DRIVE
CHARLEVOIX, MI 49720
Phone: (231) 547-4024 Fax:
Mailing address
1096 LACVUE
BOYNE CITY, MI 49712
Phone: (734) 677-7400 Fax:
Organization Subpart
No
Authorized Official
CARL HARLAN
OWNER
Phone: (800) 764-7297
Updated
Identifiers

Identifiers for NORTHERN RADIOLOGY ASSOCIATES PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBS GROUP PINMI0A510270
OTHERBLUE CROSSMI3151500034
OTHERMEDICARE RR PINMI300086775
OTHERRR MEDICAREMI300086775
MEDICAIDMI3450062
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
2085B0100X
- Radiology / Body Imaging (Primary)
MI CH008593

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.