Ebt Heart & Body Imaging

LBN: Lifetest Michigan Llc
Ebt Heart & Body Imaging is an health care organization with primary practice located at 26400 W 12 Mile Rd Suite 114, Southfield MI 48034. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Lifetest Michigan Llc can be contacted via phone (248) 358-3223, or through Hartz, Alan D via phone (810) 733-6780.

Contact Information

Primary practice address
26400 W 12 Mile Rd Suite 114 Southfield MI 48034
Phone: (248) 358-3223
Fax: (248) 358-3218
Website:
Map and Directions
Authorized official contact:
Name: Hartz, Alan D Doctor of Medicine (MD)
Phone: (810) 733-6780

Health care specialties

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

Profile Details

NPI number 1336114503
LBN Legal business name Lifetest Michigan Llc
DBA Doing business as Ebt Heart & Body Imaging
Authorized official Hartz, Alan D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Aug 22nd, 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 1336114503 NPPES
Michigan Other 0F31831 BCBSM GROUP NUMBER

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