Organization Active NPI

Doctors Diagnostic Center PC

  • Diagnostic Radiology Physician
  • Sterling Heights, MI
National Provider Identifier
1942392196
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DOCTORS DIAGNOSTIC CENTER PC
Practice address
2405 E 14 Mile Rd
Lower Level
Sterling Heights, MI 48310-5961
Phone
(586) 264-6079
Fax
(586) 264-2039
NPI assigned
Sep 28, 2006
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Mark Stephen Rosenberg, DONPI 1184601510
Title
Director
Phone
(586) 264-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Pulmonary Disease Physician 207RP1001X NU
Neurology Physician 2084N0400X NU
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

2405 E 14 Mile Rd
Lower Level
Sterling Heights, MI 48310-5961

Mailing address

2405 E 14 Mile Rd
Lower Level
Sterling Heights, MI 48310-5961
Phone (586) 264-6079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528000818 MI Part B Supplier - Clinic/Group Practice 2769463272 Receives reassigned benefits from 5 practitioners
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1942392196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 E 14 MILE RD",
            "address_2": "LOWER LEVEL",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105961",
            "telephone_number": "586-264-6079",
            "fax_number": "586-264-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 E 14 MILE RD",
            "address_2": "LOWER LEVEL",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105961",
            "telephone_number": "586-264-6079",
            "fax_number": "586-264-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS DIAGNOSTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-264-1800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.