Centrum Diagnostics LLC

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Legal business name

CENTRUM DIAGNOSTICS LLC

Practice address

24901 Northwestern Hwy
Suite 205
Southfield, MI 48075-2203

Phone

(248) 746-0882

Fax

(248) 357-2380

NPI assigned

Nov 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clarence O Dixon

Title

President

Phone

(248) 663-5311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1700066990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480990382",
            "telephone_number": "248-746-0882",
            "fax_number": "248-357-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY",
            "address_2": "SUITE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752203",
            "telephone_number": "248-746-0882",
            "fax_number": "248-357-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRUM DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-663-5311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Radiologic Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.