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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 Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for BEAUMONT SPECIAL RADIOLOGICAL PROCEDURES

NPI Number 1043220205
LBN Legal business name BEAUMONT SPECIAL RADIOLOGICAL PROCEDURES
Authorized official DUANE MEZWA - (CHIEF OF RAD DEPT/PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2006
Last updated 06/26/2012 - About 14 years ago
Identifiers n/a
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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