Active NPI
Psi Radiological Service Inc
- Diagnostic Radiology Physician
- Detroit, MI
National Provider Identifier
1326246182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Diagnostic Ultrasound Physician | 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 DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Monroe, MI
- NPI 1437242070
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.