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Carl Collins

Radiology, Diagnostic Radiology in Southfield, MI. Individual provider (NPI-1).

NPI number1063900496
StatusActive
Last updated in NPPESMar 4, 2026

Details

NPI
1063900496
Entity type
Individual (NPI-1)
Name
Carl Collins
Sex
Male
Sole proprietor
No
Enumeration date
May 1, 2018
Certification date
Mar 4, 2026
Last updated
Mar 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology5101026316MIYes
2085R0202X Radiology, Diagnostic Radiology6805TN

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Phone 248-849-3000

Mailing address

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Phone 248-849-3000

Other practice locations

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968

Phone 865-588-8005 · Fax 865-588-7716

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