ASSOCIATED RADIOLOGISTS OF CLARKSTON PLC; NPI #1689733503

Contact Information

ASSOCIATED RADIOLOGISTS OF CLARKSTON PLC

7210 ORTONVILLE RD. STE 211
CLARKSTON, MI 48346

Phone: 248-625-2621
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for ASSOCIATED RADIOLOGISTS OF CLARKSTON PLC

NPI # 1689733503

LBN Legal business name ASSOCIATED RADIOLOGISTS OF CLARKSTON PLC

Authorized official TIMOTHY O'NEILL - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/06/2006

Last updated 10/15/2007 - About 19 years ago

Identifiers

MI	License #	4301045208
MI	Medicaid	4996896
MI	Medicaid	5187744

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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