Opdyke Diagnostic Center PLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OPDYKE DIAGNOSTIC CENTER PLC

Practice address

10740 Dixie Hwy
Davisburg, MI 48350-1123

Phone

(248) 625-7007

Fax

(248) 625-0314

NPI assigned

Mar 28, 2009

Organization subpart

Yes

Parent organization

OPDYKE DIAGNOSTIC CENTER PLCAs reported in NPPES

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

Authorized official

Name

Dr. Matthew Kulick, D.O.

Title

President/Owner

Phone

(248) 333-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Opdyke Diagnostic Center PLC

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

{
    "created_epoch": "1238198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238198400000",
    "number": "1881836435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S OPDYKE RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263436",
            "telephone_number": "248-874-4908",
            "fax_number": "248-874-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 DIXIE HWY",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483501123",
            "telephone_number": "248-625-7007",
            "fax_number": "248-625-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPDYKE DIAGNOSTIC CENTER PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPDYKE DIAGNOSTIC CENTER PLC",
        "enumeration_date": "2009-03-28",
        "last_updated": "2009-03-28",
        "status": "A",
        "authorized_official_last_name": "KULICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-333-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700F339930",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Davisburg, MI
• Providers in Davisburg, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2009; 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.