Organization Name: | PRECISION MRI OF MICHIGAN LLC |
NPI Number: | 1104291947 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NATHAM KARRUMI (MANAGER) |
Mailing Address: | 27465 Southfield Rd Lathrup Village |
State: | MI US |
Postal Code: | 480763411 |
Phone Number: | 2483403674 |
Fax Number: | 2484151565 |
NPI Enumeration Date: | 12/04/2015 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |