Crystal Clear Health Management Inc

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

CRYSTAL CLEAR HEALTH MANAGEMENT INC

Practice address

16100 19 Mile Rd Ste 200
Clinton Township, MI 48038-1148

Phone

(586) 932-6303

Fax

(586) 932-6304

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Arak Ishaq

Title

Authorized Official

Phone

(586) 557-7302

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1780122804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 19 MILE RD STE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381148",
            "telephone_number": "586-932-6303",
            "fax_number": "586-932-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 19 MILE RD STE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381148",
            "telephone_number": "586-932-6303",
            "fax_number": "586-932-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR HEALTH MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "ISHAQ",
        "authorized_official_first_name": "ARAK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "586-557-7302"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Cronovich, D.O.
• Teresa Marie Crosby, BSW
• Nolwenn Marie Virginie Crosnier
• Zarah Crowell
• Amanda S Crum
• Katherine Foley Cuello la O, DO
• Tiffany Cukrowski, DO
• Toni Culcasi, LPC
• Cadie Lee Cunningham
• Judy Cunningham

• Magnetic Resonance Imaging (MRI) Clinic/Center in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.