Organization Active NPI

Grand Blanc Medical Imaging, PLC

  • Diagnostic Radiology Physician
  • Grand Blanc, MI
National Provider Identifier
1154581171
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GRAND BLANC MEDICAL IMAGING, PLC
Practice address
9475 Holly Road
Suite 205
Grand Blanc, MI 48439
Phone
(810) 733-2769
Fax
(810) 733-2830
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. John S Morrison, D.O.
Title
Medical Director
Phone
(810) 733-2769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

9475 Holly Road
Suite 205
Grand Blanc, MI 48439

Mailing address

2222 South Linden Road
Suite R
Flint, MI 48532-5475

National Provider Directory

National Provider Directory

Locations

4943 Reliable Pkwy
Chicago, IL 60686

2222 S Linden Rd
Ste R
Flint, MI 48532
Phone (810) 733-0450

9475 Holly Rd
Ste 205
Grand Blanc, MI 48439
Phone (810) 733-2769

Practitioners & affiliated clinicians

Practitioners 9

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": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1154581171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SOUTH LINDEN ROAD",
            "address_2": "SUITE R",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 HOLLY ROAD",
            "address_2": "SUITE 205",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "810-733-2769",
            "fax_number": "810-733-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BLANC MEDICAL IMAGING, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "810-733-2769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.