Active NPI
Advanced Screening, LLC
- Radiology Clinic/Center
- Southfield, MI
National Provider Identifier
1497369953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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, 2020
- 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
- Mr. Jeffrey Robert Ruff
- Title
- Member
- Phone
- (810) 577-1102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ruff@email.com |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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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.