NORTHERN RADIOLOGY ASSOCIATES PC; NPI #1063634509

Contact Information

NORTHERN RADIOLOGY ASSOCIATES PC

14700 LAKE SHORE DRIVE
CHARLEVOIX, MI 49720

Phone: 231-547-4024
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Body Imaging	2085B0100X

Indicates primary specialty

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NPI Profile & details for NORTHERN RADIOLOGY ASSOCIATES PC

NPI Number 1063634509

LBN Legal business name NORTHERN RADIOLOGY ASSOCIATES PC

Authorized official CARL HARLAN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/03/2007

Last updated 05/19/2008 - About 18 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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NORTHERN RADIOLOGY ASSOCIATES PC

Contact Information

Specialty

Body Imaging

NPI Profile & details for NORTHERN RADIOLOGY ASSOCIATES PC

Reviews for NORTHERN RADIOLOGY ASSOCIATES PC