McNichols Xray Clinic PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4612 Issued in MI

Legal business name

MCNICHOLS XRAY CLINIC PC

Practice address

21230 Dequindre Road
Southeast Michigan Surgical Hospital
Warren, MI 48091

Phone

(586) 427-1000

Fax

(586) 759-0237

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Anthony Dalessandro, DO

Title

President

Phone

(313) 881-2257

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013070135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1123",
            "address_2": "ANESTHESIA BUSINESS CONSULTANTS LLC 774 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492049923",
            "telephone_number": "517-787-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21230 DEQUINDRE ROAD",
            "address_2": "SOUTHEAST MICHIGAN SURGICAL HOSPITAL",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48091",
            "telephone_number": "586-427-1000",
            "fax_number": "586-759-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNICHOLS XRAY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALESSANDRO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-881-2257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles F McKolay, D.O.
• Lauren Marie McLaughlin
• Rebecca Lyn McLeod, ATC
• Michele Dawn McMahon, ACNP-BC
• Rita H McNally, NP
• Ann Marie McPherson
• MD Spine and Health Center LLC
• MD Urgent Care & Family Practice PLLC
• MD Urgent Care and Family Medicine PLLC
• Claire Elizabeth Mears, DO

• Diagnostic Radiology Physician in Warren, MI
• Providers in Warren, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.