| NPI | 1700828969 |
|---|---|
| Doing Business As | FARMBROOK RADIOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | VICKY ROURKE Credentialing Billing 248-352-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology Diagnostic Ultrasound (Licence: MI 00) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: MI 00) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MI 00) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MI 00) | |
| 261QR0206X Clinic/Center Radiology, Mammography | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-11-21 |