Active NPI
Taylor Diagnostic Imaging Inc
Doing business as Diagnostics Imaging Inc
- Diagnostic Radiology Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- TAYLOR DIAGNOSTIC IMAGING INC
- Doing business as
- Diagnostics Imaging Inc
- Practice address
- 28300 Franklin Rd Ste 100
Southfield, MI 48034-1657 - Phone
- (248) 347-0033
- Fax
- (248) 347-3003
- NPI assigned
- Jul 16, 2006
- 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
- Dominique Buck
- Title
- President
- Phone
- (248) 347-0033
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Nuclear Medicine Physician | 207U00000X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
28300 Franklin Rd Ste 100
Southfield, MI 48034-1657
Mailing address
28300 Franklin Rd Ste 100
Southfield, MI 48034-1657
Phone (248) 347-0033
Other names 1
- Diagnostics Imaging Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140709002978 | MI | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8426045329 | Practice locations: Southfield, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2209166 | Taylor Diagnostics Imaging | Registration | Jan 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
33469 W 14 Mile Rd
Ste 100
Farmington Hills, MI 48331
Phone (248) 347-0033
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Livonia, MI
- NPI 1346212800
-
- Cardiovascular Disease Physician
- Alma, MI
- NPI 1417913690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1639196686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28300 FRANKLIN RD STE 100",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341657",
"telephone_number": "248-347-0033",
"fax_number": "248-347-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28300 FRANKLIN RD STE 100",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341657",
"telephone_number": "248-347-0033",
"fax_number": "248-347-3003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAYLOR DIAGNOSTIC IMAGING INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "BUCK",
"authorized_official_first_name": "DOMINIQUE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-347-0033"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diagnostics Imaging Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.