NPIMap

Organization Active NPI

Genesee Medical Imaging PC

  • Diagnostic Radiology Physician
  • Grand Blanc, MI
National Provider Identifier
1184869349
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GENESEE MEDICAL IMAGING PC
Practice address
1 Genesys Pkwy
Department of Radiology
Grand Blanc, MI 48439-8065
Phone
(810) 606-5000
NPI assigned
Dec 2, 2008
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. George Polanco, DONPI 1326019332
Title
Partner
Phone
(810) 230-9215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1 Genesys Pkwy
Department of Radiology
Grand Blanc, MI 48439-8065

Mailing address

2325 Stonebridge Dr
Flint, MI 48532-5407
Phone (810) 230-9215

National Provider Directory

National Provider Directory

Locations

6640 Solutions Ctr
Chicago, IL 60677

Dept CH 19362
Palatine, IL 60055

981 Health Park Blvd
Grand Blanc, MI 48439
Phone (810) 953-6100

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1184869349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 STONEBRIDGE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325407",
            "telephone_number": "810-230-9215",
            "fax_number": "810-230-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "810-606-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE MEDICAL IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "810-230-9215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "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 Dec 2, 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.