Active NPI
Global Versa Radiology, Inc.
- Vascular & Interventional Radiology Physician
- Dearborn, MI
National Provider Identifier
1598037061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 4301099836
- Legal business name
- GLOBAL VERSA RADIOLOGY, INC.
- Practice address
- 5500 Auto Club Dr
Dearborn, MI 48126-2683 - Phone
- (877) 682-9968
- NPI assigned
- Jan 31, 2012
- 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
- Eyal Morag, M.D.
- Title
- Medical Director
- Phone
- (877) 682-9968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301099836 | MI | Primary |
Addresses
Primary practice location
5500 Auto Club Dr
Dearborn, MI 48126-2683
Mailing address
5500 Auto Club Dr
Dearborn, MI 48126-2683
Phone (877) 682-9968
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327968000000",
"number": "1598037061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 AUTO CLUB DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262683",
"telephone_number": "877-682-9968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 AUTO CLUB DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262683",
"telephone_number": "877-682-9968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLOBAL VERSA RADIOLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-31",
"last_updated": "2012-01-31",
"status": "A",
"authorized_official_last_name": "MORAG",
"authorized_official_first_name": "EYAL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "877-682-9968",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301099836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.