Active NPI
Omic LLC
Doing business as Oakland MRI Imaging Center
- Specialist
- Troy, MI
National Provider Identifier
1285754515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- OMIC LLC
- Doing business as
- Oakland MRI Imaging Center
- Practice address
- 5119 Rochester Rd
Troy, MI 48085-3426 - Phone
- (248) 740-0777
- Fax
- (248) 740-0777
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Allie Galovich
- Title
- Business Manager
- Phone
- (248) 681-8187
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
5119 Rochester Rd
Troy, MI 48085-3426
Mailing address
5119 Rochester Rd
Troy, MI 48085-3426
Phone (248) 740-0777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300F359020 | Other | MI | BCBSM |
| 166815 | Other | MI | GLHP |
Other names 1
- Oakland MRI Imaging Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080226000095 | MI | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6800970187 | Practice locations: Troy, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2027055 | Oakland MRI | Certificate of waiver | Jul 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
2243 Momentum Pl
Chicago, IL 60689
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nuclear Radiology Physician
- Warren, MI
- NPI 1164414165
-
- Diagnostic Radiology Physician
- Dayton, OH
- NPI 1053537910
-
- Diagnostic Radiology Physician
- New Haven, CT
- NPI 1669412961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215388800000",
"number": "1285754515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5119 ROCHESTER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480853426",
"telephone_number": "248-740-0777",
"fax_number": "248-740-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5119 ROCHESTER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480853426",
"telephone_number": "248-740-0777",
"fax_number": "248-740-0777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2008-07-07",
"status": "A",
"authorized_official_last_name": "GALOVICH",
"authorized_official_first_name": "ALLIE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "248-681-8187",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "300F359020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLHP",
"identifier": "166815",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oakland MRI Imaging Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.