NPI 1538353776

Madison Medical Center PC

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Troy, MI

Practice location

Address: 363 W Big Beaver Rd Suite 200, Troy, MI 48084-5220
Phone: (586) 573-6400
Mailing address: 30781 Stephenson Hwy, Madison Hts, MI 48071-1618

Authorised official

Name: Ram Gunabalan
Title: President
Phone: (586) 573-6400

Registered specialties

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary

Suppliers Taxonomy 335V00000X

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Registry record

NPI: 1538353776
Entity type: Organization
NPI issued: 30 Aug 2007
Record last updated: 17 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.