| Organization Name: | CENTER ROAD SCANNER LLC |
| NPI Number: | 1154338051 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | APPARAO MUKKAMALA (PRESIDENT) |
| Mailing Address: | 4001 Walli Strasse Ste A Burton |
| State: | MI US |
| Postal Code: | 48509 |
| Phone Number: | 8107424022 |
| Fax Number: | 8107424471 |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085N0700X |
| License Number: | 4301042515 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Neuroradiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |