MEDICARE: OMG#1PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2085U0001X	Diagnostic Ultrasound Physician
2	207RC0000X	Cardiovascular Disease Physician
3	208100000X	Physical Medicine & Rehabilitation Physician
4	2085R0204X	Vascular & Interventional Radiology Physician
5	207RM1200X	Magnetic Resonance Imaging (MRI) Internal Medicine Physician
6	207RP1001X	Pulmonary Disease Physician
7	207U00000X	Nuclear Medicine Physician
8	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1033384490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMG#1PC

Provider Business Mailing Address
First Line	:	29992 NORTHWESTERN HWY STE C
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-3292
Country	:	US
Telephone Number	:	248-851-1430
Fax Number	:	248-851-5319

Provider Business Practice Location Address
First Line	:	27483 DEQUINDRE RD STE 101
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-5700
Country	:	US
Telephone Number	:	248-544-9050
Fax Number	:	248-544-2331

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HAROLD MARGOLIS
Credential	:	D.O.
Telephone Number	:	248-851-1430

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	06/06/2025

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Directions to “OMG#1PC ” Practice Location

Language	Start Address	Practice Location

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