National Provider Identifier Database

NORTHERN RADIOLOGY ASSOCIATES PC
Body Imaging

A Radiology doctor of Osteopathy that specializes in Body Imaging.


Contact Information

NORTHERN RADIOLOGY ASSOCIATES PC
14700 LAKE SHORE DRIVE
CHARLEVOIX, MI49720
Phone: 231-547-4024
Fax:
Website:
Specialty Taxonomy Code
* Body Imaging 2085B0100X

* Indicates primary specialty

NPI Profile & details for NORTHERN RADIOLOGY ASSOCIATES PC

NPI Number 1063634509
Legal business name
LBN
NORTHERN RADIOLOGY ASSOCIATES PC
Authorized official CARL HARLAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/03/2007
Last updated 05/19/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: CH008593
  • MI Medicaid: 3450062
  • MI Other: 0A510270 BCBS GROUP PIN
  • MI Other: 3151500034 BLUE CROSS
  • MI Other: 300086775 MEDICARE RR PIN
  • MI Other: 300086775 RR MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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