National Provider Identifier Database

BEAUMONT SPECIAL RADIOLOGICAL PROCEDURES
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

BEAUMONT SPECIAL RADIOLOGICAL PROCEDURES
3601 W THIRTEEN MILE RD
ROYAL OAK, MI48073
Phone: 248-898-6064
Fax: 248-898-5490
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for BEAUMONT SPECIAL RADIOLOGICAL PROCEDURES

NPI Number 1043220205
Legal business name
LBN
BEAUMONT SPECIAL RADIOLOGICAL PROCEDURES
Authorized official DUANE MEZWA - (CHIEF OF RAD DEPT/PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/09/2006
Last updated 06/26/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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