Organization Active NPI

Taylor Diagnostic Imaging Inc

Doing business as Diagnostics Imaging Inc

  • Diagnostic Radiology Physician
  • Southfield, MI
National Provider Identifier
1639196686
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Jan 19, 2024

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140709002978 MI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8426045329 Practice locations: Southfield, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2209166Taylor Diagnostics Imaging28300 Franklin Road Suite E, Southfield, MI 48034RegistrationJan 6, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.