NPIMap

Individual provider Active NPI

Michael K. Lala, M.D.

  • Diagnostic Radiology Physician
  • Clinton Township, MI
National Provider Identifier
1790726107
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301032840 Issued in MI
Practice address
36175 Harper Ave
Clinton Township, MI 48035-3274
Phone
(586) 741-3772
Fax
(586) 741-4604
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301032840 MI Primary
Nuclear Medicine Physician 207U00000X 4301032840 MI

Addresses

Primary practice location

36175 Harper Ave
Clinton Township, MI 48035-3274

Mailing address

36175 Harper Ave
Clinton Township, MI 48035-3274
Phone (586) 741-3772

Other identifiers 5

IdentifierTypeStateIssuer
1006439OtherMCCLAREN HEALTH
0Q26008OtherMIBCBS PROVIDER NUMBER
0Q26008OtherMIBLUE CARE NETWORK
P00343263OtherRR MEDICARE
4894742MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile MRI Staffing,LLC Past Accepting new patients
Park Plaza Radiology, Inc Nuclear Medicine Past Accepting new patients
Ballenger Road Scanner LLC Diagnostic Radiology Past Accepting new patients
Linden Road Imaging Center Diagnostic Radiology Past Accepting new patients
Center Road Scanner LLC Diagnostic Radiology Past Accepting new patients
Livonia Internal Medicine Associates PC Past Accepting new patients
Eastpointe Radiologists, P.C. Nuclear Medicine PastSince Feb 23, 2025 Accepting new patients
Associated Radiologists of Flint PC Diagnostic Radiology Past Accepting new patients
Greater Flint Imaging Center Diagnostic Radiology Past Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1790726107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36175 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353274",
            "telephone_number": "586-741-3772",
            "fax_number": "586-741-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36175 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353274",
            "telephone_number": "586-741-3772",
            "fax_number": "586-741-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALA",
        "first_name": "MICHAEL",
        "middle_name": "K.",
        "name_prefix": "Prof.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301032840",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MI",
            "license": "4301032840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCCLAREN HEALTH",
            "identifier": "1006439",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0Q26008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0Q26008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00343263",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4894742",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.