Mid Michigan Advanced Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MID MICHIGAN ADVANCED IMAGING LLC

Practice address

4905 Berl Dr
Saginaw, MI 48604-2801

Phone

(810) 768-3779

Fax

(810) 606-0656

NPI assigned

Nov 19, 2012

Last updated

Nov 19, 2012By 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

Mr. Zakwan Aboudane

Title

Partner

Phone

(810) 606-0656

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1588908222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8273 S SAGINAW ST STE D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392465",
            "telephone_number": "810-606-0656",
            "fax_number": "810-606-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 BERL DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042801",
            "telephone_number": "810-768-3779",
            "fax_number": "810-606-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MICHIGAN ADVANCED IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "ABOUDANE",
        "authorized_official_first_name": "ZAKWAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "810-606-0656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.