Organization Active NPI

Shelby-Macomb Diagnostic Center, PLC

  • Diagnostic Radiology Physician
  • Shelby Township, MI
National Provider Identifier
1891097853
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SHELBY-MACOMB DIAGNOSTIC CENTER, PLC
Practice address
50505 Schoenherr Rd
Suite 010
Shelby Township, MI 48315-3140
Phone
(586) 731-5849
Fax
(586) 731-5862
NPI assigned
Nov 24, 2010
Last updated
Nov 24, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSOCIATED INTERNISTS OF MACOMB, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Dr. Antonio Morreale III, M.D.NPI 1609868520
Title
President of Shelby Macomb Diag Ctr
Phone
(586) 726-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

50505 Schoenherr Rd
Suite 010
Shelby Township, MI 48315-3140

Mailing address

50505 Schoenherr Rd
Suite 300
Shelby Township, MI 48315-3140
Phone (586) 726-5566

National Provider Directory

National Provider Directory
Part of
Associated Internists O

Locations

50505 Schoenherr Rd
Ste 10
Shelby Township, MI 48315
Phone (586) 731-5849

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": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1891097853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-726-5566",
            "fax_number": "586-726-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 010",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-731-5849",
            "fax_number": "586-731-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY-MACOMB DIAGNOSTIC CENTER, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED INTERNISTS OF MACOMB, P.C.",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "MORREALE",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT OF SHELBY MACOMB DIAG CTR",
        "authorized_official_telephone_number": "586-726-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.