Healthcare Provider Details

I. General information

NPI: 1346646494
Provider Name (Legal Business Name): MAPLEVIEW DIAGNOSTIC CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2014
Last Update Date: 11/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35200 DEQUINDRE RD SUITE 400
STERLING HTS MI
48310-4837
US

IV. Provider business mailing address

35200 DEQUINDRE RD SUITE 400
STERLING HTS MI
48310-4837
US

V. Phone/Fax

Practice location:
  • Phone: 586-826-8600
  • Fax: 248-545-4737
Mailing address:
  • Phone: 586-826-8600
  • Fax: 248-545-4737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES R LITTLE
Title or Position: OWNER
Credential: MD
Phone: 586-826-8600