Lakeshore Mammography Center Pc in Clinton Township - Specialist
Lakeshore Mammography Center Pc - NPI 1508936311
Lakeshore Mammography Center Pc is a Specialist in Clinton Township, Michigan. Lakeshore Mammography Center Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lakeshore Mammography Center Pc is 1508936311. The last update date is 2022-07-21.
Lakeshore Mammography Center Pc's current location address is 39200 Garfield Rd, Clinton Township, Michigan. You can contact this provider via phone number 5862288000 and fax number 5862287870. The mailing address for Lakeshore Mammography Center Pc is 39200 Garfield Rd, Clinton Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeshore Mammography Center Pc |
|---|---|
| Address | 39200 Garfield Rd, Clinton Township, Michigan |
| Phone Number | 5862288000 |
| Fax Number | 5862287870 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sutherland A Judith |
| Telephone Number | 5862288000 |
NPI Number Detail
| NPI Number | 1508936311 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 39200 Garfield Rd |
|---|---|
| City | Clinton Township |
| State | Michigan (MI) |
| Post Code | 480384095 |
| Phone Number | 5862288000 |
| Fax Number | 5862287870 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700Q263820 | MI | BCBS & BCN | |
| 104361216 | MI | -- | |
| 104341680 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lakeshore Mammography Center Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Lakeshore Mammography Center Pc has been assigned the NPI (National Provider Identifier) 1508936311. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Lakeshore Mammography Center Pc?
The Lakeshore Mammography Center Pc is situated at 39200 Garfield Rd, in the city of Clinton Township, state of MI, with the zip code 480384095.
What is the Lakeshore Mammography Center Pc's specialty and taxonomy code?
The Lakeshore Mammography Center Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Lakeshore Mammography Center Pc receive its 1508936311 assignment from the Centers for Medicare & Medicaid Services?
The Lakeshore Mammography Center Pc was assigned its 1508936311 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date were the details related to Lakeshore Mammography Center Pc most recently updated or revised?
The information pertaining to Lakeshore Mammography Center Pc, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.