Organization · Type 2 NPI

Michigan Surgery Specialists, P.c.

Diagnostic Radiology Physician · Warren, MI

NPI number 1316939952 Active · reactivated Nov 17, 2008

Practice location

11012 Thirteen Mile Road, Suite 111
Warren, MI 48093

Call (586) 558-8470 Map

Fax (586) 558-8481

Mailing address

31201 Chicago Rd S Ste C302
Warren, MI 48093-5553

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician	2085R0202X	4301046061 (MI)
Diagnostic Radiology Physician Primary	2085R0202X	None listed
Computed Tomography Radiologic Technologist	2471C3401X	4301046061 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2 other providers at this address

Other diagnostic radiology physician providers in Warren

See all in Warren →

NPI record

NPI: 1316939952
Entity type: Organization (Type 2)
Issued: Aug 19, 2005
Last updated: Mar 26, 2025
Status: Active
Subpart: Yes of Michigan Surgery Specialists, P.c.

Other names

<unavail>
Life Scan Imaging of Michigan · doing business as

Authorized official

Michele Kudlor
Billing Manager
(586) 459-5592

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1316939952

Michigan Surgery Specialists, P.c.'s National Provider Identifier is 1316939952, issued on Aug 19, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Warren, MI. The record was last updated on Mar 26, 2025.