Organization Active NPI

Psi Radiological Service Inc

  • Diagnostic Radiology Physician
  • Detroit, MI
National Provider Identifier
1326246182
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PSI RADIOLOGICAL SERVICE INC
Practice address
503 W Grand Blvd
Detroit, MI 48216-2200
Phone
(313) 841-3310
Fax
(313) 841-6513
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Dr. Victor Collado, M.D., PHD
Title
Radiologist
Phone
(810) 333-8026

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

503 W Grand Blvd
Detroit, MI 48216-2200

Mailing address

547 E Jefferson Ave
Detroit, MI 48226-4324
Phone (313) 962-2133

National Provider Directory

National Provider Directory

Locations

503 W Grand Blvd
Detroit, MI 48216
Phone (313) 554-0227

2888 W Grand Blvd
#B46
Detroit, MI 48202
Phone (313) 972-3100

8529 E 8 Mile Rd
Warren, MI 48089
Phone (586) 619-7025

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1326246182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264324",
            "telephone_number": "313-962-2133",
            "fax_number": "313-962-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482162200",
            "telephone_number": "313-841-3310",
            "fax_number": "313-841-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSI RADIOLOGICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "810-333-8026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.