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NPI Code Detail

MEDICARE: MR. WILLIAM ODELL HUGHES JR. RADIOLOGY TECH

MEDICARE: MR. WILLIAM ODELL HUGHES JR. RADIOLOGY TECH
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
1247100000XRadiologic Technologist

General Provider Information

NPI Number : 1154506335
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM ODELL HUGHES JR. RADIOLOGY TECH
Provider Business Mailing Address
First Line : 3646 MOUNT ELLIOTT ST
Second Line :
City : DETROIT
State : MI
Zip : 48207-2311
Country : US
Telephone Number : 313-396-2400
Fax Number :
Provider Business Practice Location Address
First Line : 3646 MOUNT ELLIOTT ST
Second Line :
City : DETROIT
State : MI
Zip : 48207-2311
Country : US
Telephone Number : 313-396-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2008
Last Update Date : 01/05/2026

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