KKL Radiology, PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301082568 Issued in MI

Legal business name

KKL RADIOLOGY, PLLC

Practice address

3781 Indian TRL
Orchard Lake, MI 48324-1626

Phone

(248) 225-6909

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Monik Lala, MD

Title

Medical Director

Phone

(313) 945-5450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1922419340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 INDIAN TRL",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483241626",
            "telephone_number": "248-225-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 INDIAN TRL",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483241626",
            "telephone_number": "248-225-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKL RADIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "LALA",
        "authorized_official_first_name": "MONIK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-945-5450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301082568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Orchard Lake, MI
• Providers in Orchard Lake, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.