Kathleen Mc Carroll in Southfield - Diagnostic Radiology

Kathleen Mc Carroll - NPI 1073573051

Kathleen Mc Carroll is a Diagnostic Radiology in Southfield, Michigan. Kathleen Mc Carroll practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kathleen Mc Carroll is 1073573051. The last update date is 2022-07-29.

Kathleen Mc Carroll's current location address is 26901 Beaumont Blvd # 3d, Southfield, Michigan. You can contact this provider via phone number 9475221952 and fax number 9475220307. The mailing address for Kathleen Mc Carroll is 26901 Beaumont Blvd # 3d, Southfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Mc Carroll
Address 26901 Beaumont Blvd # 3d, Southfield, Michigan
Phone Number 9475221952
Fax Number 9475220307
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1073573051
Provider Enumeration Date 2006-03-24
Last Updated Date 2022-07-29

Provider Mailing Address Detail

Address 26901 Beaumont Blvd # 3d
City Southfield
State Michigan (MI)
Post Code 480333849
Phone Number 9475221952
Fax Number 9475220307

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 4301040947
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4310549 MI --
300F362420 MI BCBSM

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FAQs about Kathleen Mc Carroll

What is the unique provider identifier assigned to Kathleen Mc Carroll?

The Kathleen Mc Carroll has been issued the NPI (National Provider Identifier) 1073573051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Kathleen Mc Carroll is physically located?

The Kathleen Mc Carroll is physically situated at the following address: 26901 Beaumont Blvd # 3D, Southfield, MI, 480333849.

What is Kathleen Mc Carroll's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kathleen Mc Carroll's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

On what date did the Kathleen Mc Carroll receive its 1073573051 assignment from the Centers for Medicare & Medicaid Services?

The Kathleen Mc Carroll was assigned its 1073573051 by the Centers for Medicare & Medicaid Services on 2006-03-24.

As of what date were the details related to Kathleen Mc Carroll most recently updated or revised?

The information pertaining to Kathleen Mc Carroll, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-29.

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