East Beltline Imaging Plc in Grand Rapids - Specialist

East Beltline Imaging Plc - NPI 1891881066

East Beltline Imaging Plc is a Specialist in Grand Rapids, Michigan. East Beltline Imaging Plc practices all healthcare services and medical treatments related to Specialist. The NPI Number for East Beltline Imaging Plc is 1891881066. The last update date is 2023-12-05.

East Beltline Imaging Plc's current location address is 3210 Eagle Run Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163017500 and fax number 6163013606. The mailing address for East Beltline Imaging Plc is 3210 Eagle Run Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Beltline Imaging Plc
Address 3210 Eagle Run Dr Ne, Grand Rapids, Michigan
Phone Number 6163017500
Fax Number 6163013606
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Taratuta Megan
Credentials PAC
Telephone Number 6164569553

NPI Number Detail

NPI Number 1891881066
Provider Enumeration Date 2006-10-05
Last Updated Date 2023-12-05

Provider Mailing Address Detail

Address 3210 Eagle Run Dr Ne
City Grand Rapids
State Michigan (MI)
Post Code 495257051
Phone Number 6163017500
Fax Number 6163013606

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No HS062163
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
32885 MI PRIORITY HEALTH
700D115760 MI BLUE SHIELD

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FAQs about East Beltline Imaging Plc

What is the East Beltline Imaging Plc's 1891881066?

The East Beltline Imaging Plc's NPI (National Provider Identifier) Number is 1891881066. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where East Beltline Imaging Plc is physically located?

The East Beltline Imaging Plc is situated at the following address: 3210 Eagle Run Dr Ne, Grand Rapids, MI 495257051.

What is the East Beltline Imaging Plc's specialty and taxonomy code?

The East Beltline Imaging Plc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

When was the East Beltline Imaging Plc's 1891881066 issued?

The East Beltline Imaging Plc's 1891881066 was issued on 2006-10-05.

When was the information regarding East Beltline Imaging Plc most recently updated?

The details pertaining to the East Beltline Imaging Plc, including its address, specialty, and other relevant information, were last refreshed on 2023-12-05.

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