Organization Active NPI

Clio Imaging

  • Radiology Clinic/Center
  • Clio, MI
National Provider Identifier
1881075299
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CLIO IMAGING
Practice address
4272 W Vienna Rd
Clio, MI 48420-9454
Phone
(810) 919-9415
NPI assigned
Jun 11, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Dr. Nusrat Javaid, MD
Title
Medical Director
Phone
(810) 919-9415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

4272 W Vienna Rd
Clio, MI 48420-9454

Mailing address

4272 W Vienna Rd
Clio, MI 48420-9454
Phone (810) 919-9415

National Provider Directory

National Provider Directory

Locations

4272 W Vienna Rd
Clio, MI 48420
Phone (810) 687-2850

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1881075299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4272 W VIENNA RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484209454",
            "telephone_number": "810-919-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4272 W VIENNA RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484209454",
            "telephone_number": "810-919-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIO IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "JAVAID",
        "authorized_official_first_name": "NUSRAT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "810-919-9415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.