Psi Radiological Service, Inc in Detroit - Physiological Laboratory

Psi Radiological Service, Inc - NPI 1821066648

Psi Radiological Service, Inc is a Physiological Laboratory in Detroit, Michigan. Psi Radiological Service, Inc practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for Psi Radiological Service, Inc is 1821066648. The last update date is 2011-05-04.

Psi Radiological Service, Inc's current location address is 547 E Jefferson Ave, Detroit, Michigan. You can contact this provider via phone number 3139622133 and fax number 3139622134. The mailing address for Psi Radiological Service, Inc is 547 E Jefferson Ave, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Psi Radiological Service, Inc
Address 547 E Jefferson Ave, Detroit, Michigan
Phone Number 3139622133
Fax Number 3139622134
Sole Proprietor --
Credentials --

Authorized Official

Title or Position RADIOLOGIS
Authorized Official Name Collado Victor
Credentials M.D., PHD
Telephone Number 3139622133

NPI Number Detail

NPI Number 1821066648
Provider Enumeration Date 2006-03-08
Last Updated Date 2011-05-04

Provider Mailing Address Detail

Address 547 E Jefferson Ave
City Detroit
State Michigan (MI)
Post Code 482264324
Phone Number 3139622133
Fax Number 3139622134

Provider's Primary Taxonomy Detail

Speciality Physiological Laboratory
Taxonomy 293D00000X
Definition:
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratorie

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0E02504 MI BCBS OF MICHIGAN
114483540 MI --

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FAQs about Psi Radiological Service, Inc

What is the unique 10-digit identifier code issued to Psi Radiological Service, Inc by the Centers for Medicare & Medicaid Services?

The Psi Radiological Service, Inc has been assigned the NPI (National Provider Identifier) 1821066648 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Psi Radiological Service, Inc?

The Psi Radiological Service, Inc is situated at 547 E Jefferson Ave, in the city of Detroit, state of MI, with the zip code 482264324.

What is the Psi Radiological Service, Inc's specialty and taxonomy code?

The Psi Radiological Service, Inc's specialty is Physiological Laboratory, and the corresponding taxonomy code is 293D00000X.

On what date was the 1821066648 assigned to Psi Radiological Service, Inc?

The Psi Radiological Service, Inc was issued its 1821066648 on 2006-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Psi Radiological Service, Inc's information last updated?

The Psi Radiological Service, Inc's information was last updated on 2011-05-04.

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