Healthcare Provider Details

I. General information

NPI: 1528217981
Provider Name (Legal Business Name): MRI CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 03/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 W BIG BEAVER RD SUITE 200
TROY MI
48084-5220
US

IV. Provider business mailing address

30781 STEPHENSON HWY
MADISON HTS MI
48071-1618
US

V. Phone/Fax

Practice location:
  • Phone: 248-743-0876
  • Fax: 248-619-9774
Mailing address:
  • Phone: 248-583-8922
  • Fax: 248-583-8969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: RAM GUNABALAN
Title or Position: CEO
Credential: MD
Phone: 248-743-0876