Organization Active NPI

Advanced Screening, LLC

  • Radiology Clinic/Center
  • Southfield, MI
National Provider Identifier
1497369953
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ADVANCED SCREENING, LLC
Practice address
29201 Telegraph Rd Ste L-01
Southfield, MI 48034-1301
Phone
(810) 577-1102
NPI assigned
Sep 2, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Mr. Jeffrey Robert Ruff
Title
Member
Phone
(810) 577-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

29201 Telegraph Rd Ste L-01
Southfield, MI 48034-1301

Mailing address

8185 Tewksberry PL
Grand Blanc, MI 48439-9626
Phone (810) 577-1102

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ruff@email.com

National Provider Directory

National Provider Directory

Locations

29201 Telegraph Rd
Ste L-01
Southfield, MI 48034
Phone (248) 304-7775

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1497369953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8185 TEWKSBERRY PL",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399626",
            "telephone_number": "810-577-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE L-01",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341301",
            "telephone_number": "810-577-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SCREENING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "810-577-1102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ruff@email.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "29201 Telegraph Rd Ste L-01",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480341301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 2, 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.