MEDICARE: FOCUS DIAGNOSTICS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1043807274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS DIAGNOSTICS

Provider Business Mailing Address
First Line	:	27215 SOUTHFIELD RD
Second Line	:
City	:	LATHRUP VILLAGE
State	:	MI
Zip	:	48076-3406
Country	:	US
Telephone Number	:	248-480-8888
Fax Number	:	248-450-5577

Provider Business Practice Location Address
First Line	:	27215 SOUTHFIELD RD
Second Line	:
City	:	LATHRUP VILLAGE
State	:	MI
Zip	:	48076-3406
Country	:	US
Telephone Number	:	248-480-8888
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RAMIL YUSUBOV
Credential	:
Telephone Number	:	917-633-4444

Provider Enumeration Date	:	12/22/2020
Last Update Date	:	12/22/2020

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Directions to “FOCUS DIAGNOSTICS ” Practice Location

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