Active NPI
Comprehensive Breast Centers of Ann Arbor, P.C.
- Diagnostic Radiology Physician
- Ann Arbor, MI
National Provider Identifier
1982785804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- BT026147
- Legal business name
- COMPREHENSIVE BREAST CENTERS OF ANN ARBOR, P.C.
- Practice address
- 4012 Clark Rd
Ann Arbor, MI 48105 - Phone
- (734) 677-8200
- Fax
- (734) 677-8296
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Threatt, M.D.
- Title
- Medical Director
- Phone
- (734) 677-8200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Diagnostic Radiology Physician | 2085R0202X | BT026147 | MI | Primary |
Addresses
Primary practice location
4012 Clark Rd
Ann Arbor, MI 48105
Mailing address
4012 Clark Rd
Ann Arbor, MI 48105
Phone (734) 677-8200
Other names 1
- Comprehensive Breast Centers of Ann Arbor, Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450742400000",
"number": "1982785804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 CLARK RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "734-677-8200",
"fax_number": "734-677-8296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 CLARK RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "734-677-8200",
"fax_number": "734-677-8296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE BREAST CENTERS OF ANN ARBOR, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2015-12-22",
"status": "A",
"authorized_official_last_name": "THREATT",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "734-677-8200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "BT026147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Breast Centers of Ann Arbor, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.