Madison Heights Imaging Center LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MADISON HEIGHTS IMAGING CENTER LLC

Doing business as

Michigan Diagnostics Center LLC

Practice address

23711 John R Rd
Hazel Park, MI 48030-1412

Phone

(248) 244-0757

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Jonna

Title

Member

Phone

(248) 244-0757

Specialties & licenses 1

Addresses

Other names 1

• Michigan Diagnostics Center LLC Doing business as

Locations

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1013533686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23711 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23711 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301412",
            "telephone_number": "248-244-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HEIGHTS IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "JONNA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-244-0757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Diagnostics Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia Lewis, PHARMD
• Live Well Pharmacy Inc (Live Well Pharmacy)
• Lor Ven Pharmacy LLC (Lor Ven Pharmacy)
• Lourdes Physical Therapy LLC
• M.E.K.Allc
• Ibraheem Maita
• Marinco Pharmacy Inc (Marinco Pharmacy)
• Vincent Matthew Marinco, PHARMD
• Donna Lynn Martin, RN
• Faddy Matti, PHARMD

• Magnetic Resonance Imaging (MRI) Clinic/Center in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.