TRI HOSPITAL MRI CENTER (NPI# 1063581353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063581353 |
| Entity Type | Organization |
| Organization Name | TRI HOSPITAL MRI CENTER |
| Practice Address |
1221 Pine Grove Avenue Port Huron MI 48060 |
| Practice Telephone | 8109872428 |
| Practice Fax Number | 8109879670 |
| Mailing Telephone | 8109872428 |
| Mailing Fax Number | 8109879670 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | MR. GARY LEROY (PRESIDENT) |
| Authorized Official Telephone | 8109872428 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013244045 | Tri Hospital Mri Center | Clinic/Center | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2009-11-12 |
| Street Address |
1221 PINE GROVE AVENUE |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457872541 | Christina Bantle | Nurse Practitioner | 1221 Pine Grove Avenue, Emergency Medicine Department, Port Huron, MI 48060-1111 | 2017-06-29 |
| 1396991451 | Pranay Uppuluri | Radiology | 1221 Pine Grove Avenue, Port Huron, MI 48061-5011 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258454 | Madison Community Hospital Inc. | Clinic/Center | 960 River Centre Dr, Port Huron, MI 48060-4463 | 2005-07-13 |
| 1013244045 | Tri Hospital Mri Center | Clinic/Center | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533686 | Madison Heights Imaging Center LLC | Clinic/Center | 23711 John R Rd, Hazel Park, MI 48030-1412 | 2020-06-19 |
| 1215440144 | Focus Imaging LLC | Clinic/Center | 21784 W 11 Mile Rd, Southfield, MI 48076-3718 | 2017-11-14 |
| 1871027219 | Scan Clear LLC | Clinic/Center | 43650 Garfield Rd Ste 102, Clinton Township, MI 48038-7419 | 2017-04-12 |
| 1780122804 | Crystal Clear Health Management Inc | Clinic/Center | 16100 19 Mile Rd Ste 200, Clinton Township, MI 48038-1148 | 2017-02-09 |
| 1104291947 | Precision Mri of Michigan LLC | Clinic/Center | 27465 Southfield Rd, Lathrup Village, MI 48076-3411 | 2015-12-04 |
| 1326418013 | Instant Imaging LLC | Clinic/Center | 36622 Five Mile Rd Ste 103, Livonia, MI 48154-1900 | 2015-10-07 |
| 1053798785 | Laura Silber | Clinic/Center | 6604 Shadowood Dr, West Bloomfield, MI 48322-3294 | 2015-05-01 |
| 1831583228 | Superior Diagnostics, Inc. | Clinic/Center | 24481 W 10 Mile Rd, Southfield, MI 48033-2931 | 2015-03-24 |
| 1497186928 | Romri LLC | Clinic/Center | 27501 Woodward Ave, Suite 101, Berkley, MI 48072-0904 | 2013-12-10 |
| 1174966311 | Michigan Technology Partners LLC | Clinic/Center | 15201 Century Dr, Suite 606, Dearborn, MI 48120-1232 | 2013-04-08 |
| Find all providers with the same taxonomy | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on TRI HOSPITAL MRI CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.