| Organization Name: | NORTHERN RADIOLOGY ASSOCIATES PC |
| NPI Number: | 1063634509 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARL HARLAN (OWNER) |
| Mailing Address: | 14700 Lake Shore Drive Charlevoix |
| State: | MI US |
| Postal Code: | 49720 |
| Phone Number: | 2315474024 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 05/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | CH008593 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |