Active NPI
Delta Diagnostics & Imaging
- Radiology Clinic/Center
- Troy, MI
National Provider Identifier
1790928547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- DELTA DIAGNOSTICS & IMAGING
- Practice address
- 618 Bridge Park Dr
Troy, MI 48098-1856 - Phone
- (248) 703-5256
- NPI assigned
- Apr 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yaseen Mohiuddin
- Title
- Project Manager
- Phone
- (248) 703-5256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
618 Bridge Park Dr
Troy, MI 48098-1856
Mailing address
618 Bridge Park Dr
Troy, MI 48098-1856
National Provider Directory
National Provider Directory- Tax ID family
- Delta Diagnostics Imaging
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Hamtramck, MI
- NPI 1720440308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239235200000",
"number": "1790928547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 BRIDGE PARK DR",
"city": "TROY",
"state": "MI",
"postal_code": "480981856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 BRIDGE PARK DR",
"city": "TROY",
"state": "MI",
"postal_code": "480981856",
"telephone_number": "248-703-5256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA DIAGNOSTICS & IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-09",
"last_updated": "2009-04-09",
"status": "A",
"authorized_official_last_name": "MOHIUDDIN",
"authorized_official_first_name": "YASEEN",
"authorized_official_title_or_position": "PROJECT MANAGER",
"authorized_official_telephone_number": "248-703-5256"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.