NORTHERN LIGHTS RADIOLOGY P C – NPI #1598139511
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

NORTHERN LIGHTS RADIOLOGY P C is a radiologist located in MANISTEE, MI. NPPES has assigned the NPI number 1598139511 to NORTHERN LIGHTS RADIOLOGY P C on November 16, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Sep 09, 2020. 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 LIGHTS RADIOLOGY P C below.

NPI Profile for
NORTHERN LIGHTS RADIOLOGY P C

NPI Number
1598139511
Enumeration Date

(more than 10 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 LIGHTS RADIOLOGY P C
Primary location
1465 E PARKDALE AVE
MANISTEE, MI 49660-9709
Phone: (941) 302-6016 Fax:
Mailing address
8604 LYMAN RD
KALEVA, MI 49645-9717
Phone: (941) 302-6016 Fax:
Organization Subpart
No
Authorized Official
DAVID FLESZAR
DIAGNOSTIC RADIOLOGIST
Phone: (941) 302-6016
Updated
Certification Date
Sep 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 MI 5101009967

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.