Michael Lala MD PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301032840 Issued in MI

Legal business name

MICHAEL LALA MD PC

Practice address

3815 Pine Harbor Dr
West Bloomfield, MI 48323-1650

Phone

(248) 225-6909

Fax

(248) 681-8589

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael K Lala, M.D.

Title

President

Phone

(248) 225-6909

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• south allen radiology Doing business as

Locations

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1417252016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 PINE HARBOR DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231650",
            "telephone_number": "248-225-6909",
            "fax_number": "248-681-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 PINE HARBOR DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231650",
            "telephone_number": "248-225-6909",
            "fax_number": "248-681-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL LALA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "LALA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-225-6909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301032840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "3008214141",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106018",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "south allen radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.