Great Lakes MRI Specialists LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

GREAT LAKES MRI SPECIALISTS LLC

Practice address

2922 D and M Dr
Gaylord, MI 49735-7417

Phone

(231) 922-2245

Fax

(231) 922-9073

NPI assigned

May 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick J McNamara, D.O.

Title

Owner

Phone

(989) 705-1100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew L Visconti, M.D.

  • Diagnostic Radiology Physician
  • Petoskey, MI
  • NPI 1306883202
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841237906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7150",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496967150",
            "telephone_number": "231-922-2245",
            "fax_number": "231-922-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 D AND M DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357417",
            "telephone_number": "231-922-2245",
            "fax_number": "231-922-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES MRI SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-705-1100",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Laurn Glasby Jr., RPH
• Corrina Gourde
• Cathryn M Grabowski, MA, LPC
• Cynthia R Graham, SLP
• Alyssa Paige Gray
• Faith Elizabeth Green
• Jazmyn Green, RN
• Kristal Greniuk-Wioncek, DDS
• Kyle Griffin, DMSC, PA-C, MPH, ATC
• Ashley A Groters, NP

• Diagnostic Radiology Physician in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.