Cambridge Institute of Minimally Invasive Therapies PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301098779 Issued in MI

Legal business name

CAMBRIDGE INSTITUTE OF MINIMALLY INVASIVE THERAPIES PLLC

Practice address

2007 E 14 Mile Rd
Sterling Heights, MI 48310-5905

Phone

(586) 244-9699

NPI assigned

Jun 12, 2017

Organization subpart

No

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

Authorized official

Name

Mohamad Jaber, MD

Title

Ceo

Phone

(586) 244-9699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1376072488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25569 LOCH LOMOND DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251031",
            "telephone_number": "313-779-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 E 14 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105905",
            "telephone_number": "586-244-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE INSTITUTE OF MINIMALLY INVASIVE THERAPIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "JABER",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-244-9699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301098779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.