Livonia Radiology Group PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LIVONIA RADIOLOGY GROUP PC

Practice address

36475 5 Mile
Livonia, MI 48154-1971

Phone

(734) 655-4800

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nader R Mohtadi, MD

Title

Ceo

Phone

(734) 591-1171

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chung Kim, MD

  • Diagnostic Radiology Physician
  • Livonia, MI
  • NPI 1467417329
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942263736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 LEVAN",
            "address_2": "STE 310",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545085",
            "telephone_number": "734-591-1171",
            "fax_number": "734-591-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 5 MILE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA RADIOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHTADI",
        "authorized_official_first_name": "NADER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-591-1171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3516119",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Livonia Ophthalmologists PC
• Livonia Outpatient Surgery Center, LLC
• Livonia Palliative Care P.L.L.C.
• Livonia Pharmacy LLC (livonia pharmacy)
• Livonia Public Schools School District
• Livonia Sleep Center LLC
• Livonia Sleep Solutions PLLC
• Livonia Smiles Dental Center
• Livonia SNF Opco LLC
• Livonia SNF Operating, LLC (Mission Point Nursing & Physical Rehabilitation Center of Livonia)

• Diagnostic Radiology Physician in Livonia, MI
• Providers in Livonia, 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 Aug 22, 2020; 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.