Organization Active NPI

Regal Imaging LLC

  • Diagnostic Ultrasound Physician
  • Southfield, MI
National Provider Identifier
1417521527
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
REGAL IMAGING LLC
Practice address
21650 W 11 Mile Rd Ste 104
Southfield, MI 48076-3776
Phone
(947) 217-3323
NPI assigned
May 14, 2021
Last updated
May 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Dilshod Islamov
Title
President
Phone
(833) 837-8396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X NU Primary

Addresses

Primary practice location

21650 W 11 Mile Rd Ste 104
Southfield, MI 48076-3776

Mailing address

21650 W 11 Mile Rd Ste 104
Southfield, MI 48076-3776

National Provider Directory

National Provider Directory

Locations

21650 W 11 Mile Rd
Ste 104
Southfield, MI 48076
Phone (947) 217-3323

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1417521527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21650 W 11 MILE RD STE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21650 W 11 MILE RD STE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763776",
            "telephone_number": "947-217-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "ISLAMOV",
        "authorized_official_first_name": "DILSHOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "833-837-8396"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.