Superior Diagnostics, Inc.

Primary specialty

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

License

63C073 Issued in MI

Legal business name

SUPERIOR DIAGNOSTICS, INC.

Practice address

24481 W 10 Mile Rd
Southfield, MI 48033-2931

Phone

(248) 939-8090

Fax

(201) 939-8091

NPI assigned

Mar 24, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Mark Radom

Title

Administrator

Phone

(248) 939-8090

Specialties & licenses 1

Addresses

Other names 1

• Superior Imaging Doing business as

Locations

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1831583228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24481 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332931",
            "telephone_number": "248-939-8090",
            "fax_number": "201-939-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24481 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332931",
            "telephone_number": "248-939-8090",
            "fax_number": "201-939-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "RADOM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-939-8090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MI",
            "license": "63C073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Southfield, MI
• Providers in Southfield, 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 Apr 13, 2016; 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.