Healthcare Provider Details

I. General information

NPI: 1699358564
Provider Name (Legal Business Name): ALFA DIAGNOSTICS AND IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8560 N SILVERY LN
DEARBORN HEIGHTS MI
48127-4515
US

IV. Provider business mailing address

8560 N SILVERY LN
DEARBORN HEIGHTS MI
48127-4515
US

V. Phone/Fax

Practice location:
  • Phone: 248-369-3337
  • Fax:
Mailing address:
  • Phone: 248-369-3337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. HUSSEIN HASSAN
Title or Position: OWNER
Credential:
Phone: 313-695-1635