CENTRUM DIAGNOSTICS LLC – NPI #1700066990
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

CENTRUM DIAGNOSTICS LLC is a radiologic technologist located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1700066990 to CENTRUM DIAGNOSTICS LLC on November 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 247100000X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist.

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 CENTRUM DIAGNOSTICS LLC below.

NPI Profile for
CENTRUM DIAGNOSTICS LLC

NPI Number
1700066990
Enumeration Date

(more than 18 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
CENTRUM DIAGNOSTICS LLC
Primary location
24901 NORTHWESTERN HWY
SUITE 205
SOUTHFIELD, MI 48075-2203
Phone: (248) 746-0882 Fax: (248) 357-2380
Mailing address
PO BOX 382
TROY, MI 48099-0382
Phone: (248) 746-0882 Fax: (248) 357-2380
Organization Subpart
No
Authorized Official
CLARENCE DIXON
PRESIDENT
Phone: (248) 663-5311
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
247100000X
- Radiologic Technologist (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.