Organization · NPI-2

Advanced Mri Imaging, PLLC

Radiology, Diagnostic Radiology · Southfield, MI

NPI number1295996080
StatusActive
Last updated in NPPESJul 24, 2008

Details

NPI
1295996080
Entity type
Organization (NPI-2)
Legal business name
Advanced Mri Imaging, PLLC
Organization subpart
No
Enumeration date
Jun 24, 2008
Last updated
Jul 24, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes

Practice location

27207 Lahser Rd
Suite 101
Southfield, MI 48034-2168

Phone 248-398-4488

Mailing address

4996 Champlain Cir
W Bloomfield, MI 48323-3527

Phone 249-398-4488

Authorized official

Roger B Fenton
Owner
2483984488

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