S.E. Michigan Diagnostic Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

S.E. MICHIGAN DIAGNOSTIC CENTER PC

Practice address

350 E 12 Mile Rd
Madison Heights, MI 48071-2531

Phone

(248) 545-3754

Fax

(248) 399-6136

NPI assigned

Aug 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Erwin Feldman, D.O.

Title

President/Owner

Phone

(248) 399-3550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417960139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31800 NORTHWESTERN HWY",
            "address_2": "SUITE 370",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341655",
            "telephone_number": "248-626-0766",
            "fax_number": "248-626-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712531",
            "telephone_number": "248-545-3754",
            "fax_number": "248-399-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.E. MICHIGAN DIAGNOSTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-399-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuha S. Rukieh, R.PH.
• Amber Russell-Spencer, CCAR PRC
• Sharon Faye Ryan
• S E Michigan Family Practice PC
• S. E. Michigan Diagnostic Center PC
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• Neena Sachdeva, OT
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• Sacred Heart Rehabilitation Center, Inc

• Specialist in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.