Organization Active NPI

Gravity Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Madison Heights, MI
National Provider Identifier
1891164083
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
GRAVITY IMAGING LLC
Practice address
1190 E 12 Mile Rd Ste 1
Madison Heights, MI 48071-2648
Phone
(313) 850-7888
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Mirna Fayad
Title
Director
Phone
(313) 850-7888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

1190 E 12 Mile Rd Ste 1
Madison Heights, MI 48071-2648

Mailing address

PO Box 545
Dearborn, MI 48121-0545
Phone (313) 850-7888

National Provider Directory

National Provider Directory

Locations

1190 E 12 Mile Rd
Ste 1
Madison Heights, MI 48071
Phone (313) 699-0605

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1891164083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481210545",
            "telephone_number": "313-850-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E 12 MILE RD STE 1",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712648",
            "telephone_number": "313-850-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVITY IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "FAYAD",
        "authorized_official_first_name": "MIRNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-850-7888"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.