NPIMap

Organization Active NPI

X-Ray Treatment Center

Doing business as X-Ray Treatment Center, PC/MCCI

  • Radiation Oncology Physician
  • Eastpointe, MI
National Provider Identifier
1346216728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
X-RAY TREATMENT CENTER
Doing business as
X-Ray Treatment Center, PC/MCCI
Practice address
23337 Gratiot Ave
Eastpointe, MI 48021-1642
Phone
(586) 776-4820
Fax
(586) 777-3239
NPI assigned
Feb 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Farideh R. Bagne, PH.D., J.D.
Title
Ceo
Phone
(248) 338-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X Primary

Addresses

Primary practice location

23337 Gratiot Ave
Eastpointe, MI 48021-1642

Mailing address

23337 Gratiot Ave
Eastpointe, MI 48021-1642
Phone (586) 776-4820

Other names 1

  • X-Ray Treatment Center, PC/MCCI Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McCi-Macomb Cancer Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23337 Gratiot Ave
Eastpointe, MI 48021
Phone (586) 412-4000

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346216728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23337 GRATIOT AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211642",
            "telephone_number": "586-776-4820",
            "fax_number": "586-777-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23337 GRATIOT AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211642",
            "telephone_number": "586-776-4820",
            "fax_number": "586-777-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X-RAY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAGNE",
        "authorized_official_first_name": "FARIDEH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-338-0300",
        "authorized_official_credential": "PH.D., J.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "X-Ray Treatment Center, PC/MCCI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.