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General NPI Number Information
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NPI Number | 1386708113
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Entity Type | Organization
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Legal Business Name | COMPLETE DIAGNOSTIC SERVICES INC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2289 STAR CT
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3625
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Country | US
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Telephone | 248-852-0569
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Fax | 248-852-2079
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Provider Business Mailing Address
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Address Line | 2289 STAR CT
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3625
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Country | US
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Telephone | 248-852-2079
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TONY ORLANDO
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Credential |
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Telephone | 248-852-2079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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