| NPI | 1316939952 |
|---|---|
| Doing Business As | LIFE SCAN IMAGING OF MICHIGAN |
| Entity Type | Organization |
| Authorized Contact | EDWARD F. BURKE President 586-751-3380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301046061) |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: MI 4301046061) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2008-11-17 |