Shores Diagnostic Center

LBN: St John Hospital And Medical Center
Shores Diagnostic Center is an health care organization with primary practice located at 20225 E 9 Mile Rd , Saint Clair Shores MI 48080-1775. The organization recently has 13 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Technologists, Technicians & Other Technical Service Providers / Bone Densitometry, Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Mammography, Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology, Technologists, Technicians & Other Technical Service Providers / Sonography, Technologists, Technicians & Other Technical Service Providers / Vascular Sonography. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. St John Hospital And Medical Center can be contacted via phone (586) 775-4711, or through Johnson, Jennifer via phone (877) 996-9975.

Contact Information

Primary practice address
20225 E 9 Mile Rd Saint Clair Shores MI 48080-1775
Phone: (586) 775-4711
Fax: (586) 775-4050
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jennifer
Phone: (877) 996-9975

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X Michigan
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X Michigan
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X Michigan
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Michigan
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X Michigan
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X Michigan
Technologists, Technicians & Other Technical Service Providers / Bone Densitometry 2471B0102X Michigan
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X Michigan
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X Michigan
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology 2471N0900X Michigan
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X Michigan
Technologists, Technicians & Other Technical Service Providers / Vascular Sonography 2471V0105X Michigan

Profile Details

NPI number 1750546446
LBN Legal business name St John Hospital And Medical Center
DBA Doing business as Shores Diagnostic Center
Authorized official Johnson, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2008
Last updated Jan 27th, 2011 - about 13 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 1750546446 NPPES
Michigan Other 310E020840 BCBSM GROUP NUMBER

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