Grand Traverse Radiologists Pc

LBN: Grand Traverse Radiologists Pc
Grand Traverse Radiologists Pc is an health care organization with primary practice located at 1105 Sixth St , Traverse City MI 49684-2345. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Grand Traverse Radiologists Pc can be contacted via phone (231) 935-0497, or through Lung, Michelle M via phone (231) 935-0497.

Contact Information

Primary practice address
1105 Sixth St Traverse City MI 49684-2345
Phone: (231) 935-0497
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lung, Michelle M Doctor of Medicine (MD)
Phone: (231) 935-0497

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1760404891
LBN Legal business name Grand Traverse Radiologists Pc
DBA Doing business as
Authorized official Lung, Michelle M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Apr 29th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760404891 NPPES
Michigan Other 134232100 US DEPT. OF LABOR
Michigan Other 27837 US DEPT. OF LABOR
Michigan Other 53556A US DEPT. OF LABOR
Michigan Other 008081 US DEPT. OF LABOR
Michigan Other XX00308 US DEPT. OF LABOR
Michigan Other 104756 US DEPT. OF LABOR
Michigan MEDICAID 12088500 US DEPT. OF LABOR
Michigan Other 10399 US DEPT. OF LABOR
Michigan Other 104756 US DEPT. OF LABOR
Michigan Other CA3471 US DEPT. OF LABOR
Michigan Other N16010 US DEPT. OF LABOR
Michigan Other 0B87605 US DEPT. OF LABOR
Michigan Other 280047 US DEPT. OF LABOR
Michigan Other 4055 US DEPT. OF LABOR
Michigan Other 803002 US DEPT. OF LABOR

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