Professional Sonocardiographic Imaging

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PROFESSIONAL SONOCARDIOGRAPHIC IMAGING

Practice address

1320 Wilkins St
Detroit, MI 48207-4802

Phone

(313) 656-2151

Fax

(313) 656-2152

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Victor Collado, M.D,. PH.D

Title

Radiologist

Phone

(313) 656-2151

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303516800000",
    "number": "1821061938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264324",
            "telephone_number": "313-962-2133",
            "fax_number": "313-962-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WILKINS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074802",
            "telephone_number": "313-656-2151",
            "fax_number": "313-656-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SONOCARDIOGRAPHIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2011-04-23",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "313-656-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,. PH.D"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114483504",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114483522",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470000653",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0E01 184",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Care Rehab LLC
• Professional Home Doctors (The Detroit Medical Clinic)
• Professional Medical Center PC
• Professional Patient Care PC
• Professional Plaza Clinic Corporation
• Progress Transitionalnonprofit Housing Corporation
• Progressive Care Home Health Services, LLC (Pchhs, LLC)
• Progressive Human Services Inc.
• Progressive Therapy & Rehab Center, Inc.
• Deanna Jean Prohaszka

• Radiology Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Radiology Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2011; 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.