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NPI Code Detail

MEDICARE: DIAGNOSTIC RADIOLOGY ASSOCIATES OF FLINT PC

MEDICARE: DIAGNOSTIC RADIOLOGY ASSOCIATES OF FLINT PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1300B56078OTHERMIBCBSM GROUP NUMBER

General Provider Information

NPI Number : 1790750966
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAGNOSTIC RADIOLOGY ASSOCIATES OF FLINT PC
Provider Business Mailing Address
First Line : 501 S BALLENGER HWY
Second Line : SUITE B
City : FLINT
State : MI
Zip : 48532-3641
Country : US
Telephone Number : 810-342-4800
Fax Number :
Provider Business Practice Location Address
First Line : 501 S BALLENGER HWY
Second Line : SUITE B
City : FLINT
State : MI
Zip : 48532-3641
Country : US
Telephone Number : 810-342-4800
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. LINDA L LAWRENCE
Credential : MD
Telephone Number : 810-342-4800
Provider Enumeration Date : 02/21/2006
Last Update Date : 11/13/2007

Similar Medicare Providers

1639111966 — STEPHEN D DEFRIEZ D.O.
Practice Location Address:
501 S BALLENGER HWY , SUITE B
FLINT, MI
48532-3641
Practice Phone: 810-342-4800
Practice Fax:
1265476097 — DR. SUDHIR ARUMANLA MD
Practice Location Address:
501 S BALLENGER HWY , STE B
FLINT, MI
48532-3641
Practice Phone: 810-342-4800
Practice Fax:
1124142781 — MCLAREN ASC OF FLINT, LLC
Practice Location Address:
501 SOUTH BALLENGER HIGHWAY
FLINT, MI
48532-3641
Practice Phone: 810-768-2044
Practice Fax:
1952861874 — DR. AMORENA LILA TOMPKINS DNP, RN, NP-C
Practice Location Address:
2387 S LINDEN RD STE A
FLINT, MI
48532-5443
Practice Phone: 810-733-1700
Practice Fax: 810-733-1701
1659230399 — MACKENZIE ANN MEIER
Practice Location Address:
5039 VILLA LINDE PKWY
FLINT, MI
48532-3450
Practice Phone: 989-401-2244
Practice Fax:
1255916193 — MEGAN FERRILLA
Practice Location Address:
G-2241 SOUTH LINDEN RD SUITE A
FLINT, MI
48532
Practice Phone: 810-732-8400
Practice Fax:

Directions to “DIAGNOSTIC RADIOLOGY ASSOCIATES OF FLINT PC ” Practice Location

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