GREAT LAKES MRI OF MICHIGAN LLC – NPI #1972586717
Radiology

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

Health Care Provider Taxonomy Code for Radiology

GREAT LAKES MRI OF MICHIGAN LLC is a radiologist located in WARREN, MI. NPPES has assigned the NPI number 1972586717 to GREAT LAKES MRI OF MICHIGAN LLC on November 25, 2005. 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 14 years ago on Jan 03, 2012. 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 GREAT LAKES MRI OF MICHIGAN LLC below.

NPI Profile for
GREAT LAKES MRI OF MICHIGAN LLC

NPI Number
1972586717
Enumeration Date

(more than 20 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
GREAT LAKES MRI OF MICHIGAN LLC
Primary location
27301 SCHOENHERR RD
SUITE 100
WARREN, MI 48088-6649
Phone: (586) 427-7226 Fax: (586) 427-4966
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEL CHARBONIER
MANAGER
Phone: (586) 427-7226
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

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.