NPIMap

Organization Active NPI

Diagnostic Radiology Associates of Flint PC

  • Diagnostic Radiology Physician
  • Flint, MI
National Provider Identifier
1790750966
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DIAGNOSTIC RADIOLOGY ASSOCIATES OF FLINT PC
Practice address
501 S Ballenger Hwy
Suite B
Flint, MI 48532-3641
Phone
(810) 342-4800
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Linda L Lawrence, MD
Title
President
Phone
(810) 342-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

501 S Ballenger Hwy
Suite B
Flint, MI 48532-3641

Mailing address

501 S Ballenger Hwy
Suite B
Flint, MI 48532-3641
Phone (810) 342-4800

Other identifiers 1

IdentifierTypeStateIssuer
300B56078OtherMIBCBSM GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220000412 MI Part B Supplier - Clinic/Group Practice 9537054200 Receives reassigned benefits from 10 practitioners
Practice locations: Flint, MI; Grand Blanc, MI; Lake Orion, MI; Lapeer, MI; Rochester Hills, MI; Southfield, MI; West Bloomfield, MI; West Branch, MI…

National Provider Directory

National Provider Directory

Locations

6770 Dixie Hwy
Ste 107
Clarkston, MI 48346
Phone (248) 625-7506

5701 Bow Pointe Dr
Ste 115
Clarkston, MI 48346
Phone (248) 620-5012

G3426 Miller Rd
Flint, MI 48507
Phone (810) 230-2636

1794 N Lapeer Rd
Ste B
Lapeer, MI 48446
Phone (810) 245-5290

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1790750966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S BALLENGER HWY",
            "address_2": "SUITE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323641",
            "telephone_number": "810-342-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BALLENGER HWY",
            "address_2": "SUITE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323641",
            "telephone_number": "810-342-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY ASSOCIATES OF FLINT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-342-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "300B56078",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.