Ultra Diagnostic Services PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ULTRA DIAGNOSTIC SERVICES PC

Practice address

29600 Northwestern Hwy
Suite 106
Southfield, MI 48034-1016

Phone

(313) 258-4855

Fax

(248) 671-5185

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Henry A Shevitz, MD

Title

Medical Director

Phone

(313) 258-4855

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1487955845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29600 NORTHWESTERN HIGHWAY",
            "address_2": "SUITE 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341376",
            "telephone_number": "313-258-4855",
            "fax_number": "248-671-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29600 NORTHWESTERN HWY",
            "address_2": "SUITE 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341016",
            "telephone_number": "313-258-4855",
            "fax_number": "248-671-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA DIAGNOSTIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "SHEVITZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-258-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "MI",
            "license": "4301028752",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.