MEDICARE: PSI RADIOLOGICAL SERVICE INC

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	261QR0200X	Radiology Clinic/Center
3	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1326246182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSI RADIOLOGICAL SERVICE INC

Provider Business Mailing Address
First Line	:	547 E JEFFERSON AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48226-4324
Country	:	US
Telephone Number	:	313-962-2133
Fax Number	:	313-962-2134

Provider Business Practice Location Address
First Line	:	503 W GRAND BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48216-2200
Country	:	US
Telephone Number	:	313-841-3310
Fax Number	:	313-841-6513

Authorized Official
Title or Position	:	RADIOLOGIST
Name	:	DR. VICTOR COLLADO
Credential	:	M.D., PHD
Telephone Number	:	810-333-8026

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	05/04/2011

Similar Medicare Providers

1689781981 — MS. AMY E UREEL MS PAC
Practice Location Address:

503 W GRAND BLVD
DETROIT, MI
48216-2200

Practice Phone: 313-554-0227
Practice Fax:

1578751467 — ARLETHA ANDERSON, M.D. P.C.
Practice Location Address:

503 W GRAND BLVD
DETROIT, MI
48216-2200

Practice Phone: 313-554-0227
Practice Fax:

1205134772 — MISS TERRI FATA RDH
Practice Location Address:

559 W GRAND BLVD
DETROIT, MI
48216-2200

Practice Phone: 313-554-3880
Practice Fax:

1003114471 — MISS FABIOLA ZAMUDIO RDH
Practice Location Address:

559 W GRAND BLVD
DETROIT, MI
48216-2200

Practice Phone: 313-554-3880
Practice Fax:

1497020424 — HOPE URGENT CARE LATINO PLLC
Practice Location Address:

503 W GRAND BLVD
DETROIT, MI
48216-2200

Practice Phone: 810-412-5590
Practice Fax: 810-412-5593

1033786421 — DR. BRADY ROBBINS DDS
Practice Location Address:

559 W. GRAND BLVD
DETROIT, MI
48216-2200

Practice Phone: 313-499-4775
Practice Fax:

Directions to “PSI RADIOLOGICAL SERVICE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.