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Contact Information

IMID CONSULTANTS PC
2300 HAGGERTY
STE 1190
WEST BLOOMFIELD, MI48322
 Phone: 248-229-6255
 Fax: 248-624-9825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IMID CONSULTANTS PC

NPI Number 1194742940
LBN Legal business name IMID CONSULTANTS PC
Authorized official BRENDA LUTHER - (SENIOR BILLER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MI License # 4301054621
MI Medicaid 4474944
Other 1106320881 BC
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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