Healthcare Provider Details

I. General information

NPI: 1528406790
Provider Name (Legal Business Name): TOTAL IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17200 SILVER PKWY
FENTON MI
48430-4437
US

IV. Provider business mailing address

24525 SOUTHFIELD RD
SOUTHFIELD MI
48075-2740
US

V. Phone/Fax

Practice location:
  • Phone: 888-256-6760
  • Fax: 810-487-4695
Mailing address:
  • Phone: 248-213-8300
  • Fax: 248-443-0165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMI AHMAD
Title or Position: MANAGING MEMBER
Credential:
Phone: 248-808-3308