Northern Radiology Associates Pc in Boyne City - Body Imaging

Northern Radiology Associates Pc - NPI 1063634509

Northern Radiology Associates Pc is a Body Imaging in Boyne City, Michigan. Northern Radiology Associates Pc practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Northern Radiology Associates Pc is 1063634509. The last update date is 2008-05-19.

Northern Radiology Associates Pc's current location address is 1096 Lacvue, Boyne City, Michigan. You can contact this provider via phone number 7346777400. The mailing address for Northern Radiology Associates Pc is 1096 Lacvue, Boyne City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northern Radiology Associates Pc
Address 1096 Lacvue, Boyne City, Michigan
Phone Number 7346777400
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Harlan Carl
Credentials D.O.
Telephone Number 8007647297

NPI Number Detail

NPI Number 1063634509
Provider Enumeration Date 2007-05-03
Last Updated Date 2008-05-19

Provider Mailing Address Detail

Address 1096 Lacvue
City Boyne City
State Michigan (MI)
Post Code 49712
Phone Number 7346777400
Fax Number

Provider's Primary Taxonomy Detail

Speciality Body Imaging
Taxonomy 2085B0100X
Licence No CH008593
Definition:
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3151500034 MI BLUE CROSS
0A510270 MI BCBS GROUP PIN
300086775 MI RR MEDICARE
300086775 MI MEDICARE RR PIN
3450062 MI --

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FAQs about Northern Radiology Associates Pc

What is the unique provider identifier assigned to Northern Radiology Associates Pc?

The Northern Radiology Associates Pc has been issued the NPI (National Provider Identifier) 1063634509 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Northern Radiology Associates Pc is physically located?

The Northern Radiology Associates Pc is situated at the following address: 1096 Lacvue, Boyne City, MI 49712.

What is Northern Radiology Associates Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Northern Radiology Associates Pc is Body Imaging, and the taxonomy code that classifies this field of practice is 2085B0100X.

On what date did Northern Radiology Associates Pc receive its 1063634509 assignment from the Centers for Medicare & Medicaid Services?

The Northern Radiology Associates Pc was assigned its 1063634509 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Northern Radiology Associates Pc's information last updated?

The Northern Radiology Associates Pc's information was last updated on 2008-05-19.

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