Organization Active NPI

Michigan Radiation Institute LLC

  • Radiation Oncology Physician
  • Pontiac, MI
National Provider Identifier
1114263563
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
MICHIGAN RADIATION INSTITUTE LLC
Practice address
461 W Huron St
Michigan Radiation Oncology, LLC
Pontiac, MI 48341-1601
Phone
(917) 868-2060
NPI assigned
Dec 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Urmila Yadav
Title
Owner
Phone
(917) 868-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X MI Primary

Addresses

Primary practice location

461 W Huron St
Michigan Radiation Oncology, LLC
Pontiac, MI 48341-1601

Mailing address

12801 Auburn St
Detroit, MI 48223-3413
Phone (917) 868-2060

National Provider Directory

National Provider Directory

Locations

12801 Auburn St
Detroit, MI 48223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114263563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 AUBURN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482233413",
            "telephone_number": "917-868-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST",
            "address_2": "MICHIGAN RADIATION ONCOLOGY, LLC",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "917-868-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN RADIATION INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YADAV",
        "authorized_official_first_name": "URMILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-868-2060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.