Organization · Type 2 NPI

Ultra Diagnostic Services PC

Medical Specialty Clinic/Center · Southfield, MI

NPI number 1487955845 Active

Practice location

29600 Northwestern Hwy, Suite 106
Southfield, MI 48034-1016

Fax (248) 671-5185

Mailing address

29600 Northwestern Highway, Suite 106
Southfield, MI 48034-1376

Specialties and licenses

TaxonomyCodeLicense
Nuclear Medicine Physician 207U00000X4301028752 (MI)
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

13 other providers at this address

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About NPI 1487955845

Ultra Diagnostic Services PC's National Provider Identifier is 1487955845, issued on Nov 16, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Southfield, MI. The record was last updated on Dec 20, 2011.