Professional Diagnostic Imagiging PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

4301040806 Issued in MI

Legal business name

PROFESSIONAL DIAGNOSTIC IMAGIGING PLLC

Practice address

4284 Echo Rd
Bloomfield Hills, MI 48302-1943

Phone

(248) 703-7639

NPI assigned

Mar 27, 2010

Organization subpart

No

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

Authorized official

Name

Syed M Khan, M.D.

Title

Owner

Phone

(248) 703-7639

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269648000000",
    "number": "1174848600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 ECHO RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021943",
            "telephone_number": "248-703-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 ECHO RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021943",
            "telephone_number": "248-703-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DIAGNOSTIC IMAGIGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-27",
        "last_updated": "2010-03-27",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-703-7639",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MI",
            "license": "4301040806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Radiology Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2010; 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.