Active NPI
Regal Imaging LLC
- Diagnostic Ultrasound Physician
- Southfield, MI
National Provider Identifier
1417521527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.