Organization Active NPI

The Imaging Center PC

  • Radiology Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1356223879
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
THE IMAGING CENTER PC
Practice address
710 Kenmoor Ave SE
Grand Rapids, MI 49546-2302
Phone
(616) 617-2623
NPI assigned
Jul 24, 2025
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
THE IMAGING CENTER PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Jay LabineNPI 1275514721
Title
Owner
Phone
(616) 617-2623

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X NU
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

710 Kenmoor Ave SE
Grand Rapids, MI 49546-2302

Mailing address

710 Kenmoor Ave SE
Grand Rapids, MI 49546-2302
Phone (616) 617-2623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251114000172 MI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3870091507 Practice locations: Grand Rapids, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
The Imaging Center2 organizations share this tax ID, including this one
Part of
The Imaging Center

Other organizations with this tax ID 1

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

Locations

710 Kenmoor Ave SE
Ste 105
Grand Rapids, MI 49546
Phone (616) 980-9050

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1356223879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 KENMOOR AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462302",
            "telephone_number": "616-617-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KENMOOR AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462302",
            "telephone_number": "616-617-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IMAGING CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE IMAGING CENTER PC",
        "enumeration_date": "2025-07-24",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "LABINE",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-617-2623"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.