MEDICARE: BIO-MAGNETIC RESONANCE INC

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		MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00295133	OTHER	MI	RR MEDICARE DR BIXLER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508860206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIO-MAGNETIC RESONANCE INC

Provider Business Mailing Address
First Line	:	30781 STEPHENSON HWY
Second Line	:
City	:	MADISON HTS
State	:	MI
Zip	:	48071-1618
Country	:	US
Telephone Number	:	248-583-8922
Fax Number	:	248-583-8969

Provider Business Practice Location Address
First Line	:	30781 STEPHENSON HWY
Second Line	:
City	:	MADISON HTS
State	:	MI
Zip	:	48071-1618
Country	:	US
Telephone Number	:	248-583-8922
Fax Number	:	248-583-8969

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RAM GUNABALAN
Credential	:	MD
Telephone Number	:	248-583-8922

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/21/2022

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Directions to “BIO-MAGNETIC RESONANCE INC ” Practice Location

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