T-12 Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

T-12 IMAGING LLC

Doing business as

Ascend Imaging

Practice address

29201 Telegraph Rd Ste L-01
Southfield, MI 48034-1301

Phone

(248) 595-8404

Fax

(248) 996-8469

NPI assigned

Dec 18, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Erne

Title

Manager

Phone

(248) 595-8404

Specialties & licenses 1

Addresses

Other names 1

• Ascend Imaging Doing business as

Locations

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1861030074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE L-01",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341301",
            "telephone_number": "248-595-8404",
            "fax_number": "248-281-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE L-01",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341301",
            "telephone_number": "248-595-8404",
            "fax_number": "248-996-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T-12 IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-04-05",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "ERNE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-595-8404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascend Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascend Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillip Szerlag
• Alicja Szewczyk, NURSE PRACTITIONER
• Lisa Christine Szpond, REGISTERED NURSE
• Lori A Szydlowski, CRNA
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• Erwyn Tabasan, PHARMD
• Susan Tabashnik, MSW
• Lea Simone Tabb
• Salwan Taila
• Tailored Clinical Services P.L.L.C.

• Radiology Clinic/Center in Southfield, MI
• Providers in Southfield, 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 5, 2024; 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.