National Provider Identifier Database

CENTRUM DIAGNOSTICS LLC
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

CENTRUM DIAGNOSTICS LLC
24901 NORTHWESTERN HWY
SUITE 205
SOUTHFIELD, MI48075-2203
Phone: 248-746-0882
Fax: 248-357-2380
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for CENTRUM DIAGNOSTICS LLC

NPI Number 1700066990
Legal business name
LBN
CENTRUM DIAGNOSTICS LLC
Authorized official CLARENCE DIXON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/06/2007
Last updated 11/06/2007 - About 19 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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