Pavilion Imaging, Llc

LBN: Pavilion Imaging, Llc
Pavilion Imaging, Llc is an health care organization with primary practice located at 29201 Telegraph Rd Ste L-01 , Southfield MI 48034-1301. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Pavilion Imaging, Llc can be contacted via phone (248) 304-7775, or through Hill, Abbie via phone (248) 304-7647.

Contact Information

Primary practice address
29201 Telegraph Rd Ste L-01 Southfield MI 48034-1301
Fax: (248) 918-2033
Website:
Authorized official contact:
Name: Hill, Abbie

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1659769867
LBN Legal business name Pavilion Imaging, Llc
DBA Doing business as
Authorized official Hill, Abbie
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 23rd, 2014
Last updated Mar 22nd, 2018 - about 6 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 1659769867 NPPES
Michigan MEDICAID 1306075551

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