Healthcare Provider Details

I. General information

NPI: 1437441714
Provider Name (Legal Business Name): AIN IMAGING PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2011
Last Update Date: 05/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27555 MIDDLEBELT RD
FARMINGTON HILLS MI
48334-5011
US

IV. Provider business mailing address

27555 MIDDLEBELT RD
FARMINGTON HILLS MI
48334-5011
US

V. Phone/Fax

Practice location:
  • Phone: 248-478-5512
  • Fax:
Mailing address:
  • Phone: 248-478-5512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MITCHELL L ELKISS
Title or Position: PRESIDENT
Credential:
Phone: 248-478-5512