CENTER ROAD SCANNER LLC (NPI# 1154338051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154338051 |
| Entity Type | Organization |
| Organization Name | CENTER ROAD SCANNER LLC |
| Practice Address |
4001 Walli Strasse Ste A Burton MI 48509 |
| Mailing Address |
Po Box 4459 Flint MI 48504-0459 |
| Practice Telephone | 8107424022 |
| Practice Fax Number | 8107424471 |
| Mailing Telephone | 8104244761 |
| Mailing Fax Number | 8104244871 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. APPARAO MUKKAMALA (PRESIDENT) |
| Authorized Official Telephone | 8104244761 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0700X |
Radiology Specialization: Neuroradiology |
4301042515 | MI | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301034123 | MI | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301031588 | MI | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301057046 | MI | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301034675 | MI | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301037709 | MI | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301046932 | MI | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301406912 | MI | Allopathic & Osteopathic Physicians |
| X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
4301037112 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM PROVIDER CODE NO. | 3OOB51210 | 01 |
| Street Address |
4001 WALLI STRASSE STE A |
| City | BURTON |
| State | MI |
| Zip Code | 48509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558378455 | Greater Flint Imaging Center | Radiology | 4001 Walli Strasse, Suite A, Burton, MI 48509 | 2006-08-02 |
| 1992899546 | Manilal O Mewada | Obstetrics & Gynecology | 4001 Walli Strasse, Suite C, Burton, MI 48509-1729 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1538657697 | Jenny Dudley | Nurse Practitioner | 1501 Center Rd, Burton, MI 48509 | 2018-04-24 |
| 1831618289 | Michael T Sproule | Registered Nurse | 6201 Woodmoor Dr, Burton, MI 48509 | 2017-09-18 |
| 1083159438 | William H Moon Jr Dds | Dentist | 1481 South Center Road, Burton, MI 48509 | 2016-12-21 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1760722896 | Ambe Inc. | Pharmacy | 6009 E. Lapeer Rd, Burton, MI 48509 | 2013-02-27 |
| 1669519328 | Planned Parenthood Mid and South Michigan | Clinic/Center | G1235 S Center Rd, Unit #17, Burton, MI 48509 | 2007-01-31 |
| 1073689899 | Tender Dental Care PC | Dentist | 1024 N Genesee, Burton, MI 48509 | 2006-11-24 |
| 1043385701 | William H Moon Jr. | Dentist | 1481 S Center Rd, Burton, MI 48509 | 2006-11-21 |
| 1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
| Find all providers in zip 48509 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558378455 | Greater Flint Imaging Center | Radiology | 4001 Walli Strasse, Suite A, Burton, MI 48509 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225318652 | Julius M Griauzde | Radiology | 26850 Providence Pkwy Ste 205, Novi, MI 48374-1255 | 2011-08-17 |
| 1033438098 | Naveen Kumar Malay | Radiology | 4201, St.antoine, Detroit, MI 48201 | 2010-05-28 |
| 1790931715 | Ravi K Shastri | Radiology | 2122 Health Dr Sw Ste 160, Wyoming, MI 49519-9402 | 2008-08-10 |
| 1548373483 | Linden Road Imaging Center | Radiology | 1100 S Linden Road, Ste C, Flint, MI 48532 | 2006-08-16 |
| 1922022409 | Christopher Clark Massin | Radiology | 200 Jefferson Ave, Grand Rapids, MI 49503 | 2006-07-27 |
| 1134119886 | John Hopkins | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2005-10-25 |
| 1538401658 | Gassan Shahin Md PC | Radiology | 31471 Northwestern Hwy, Suite # 3, Farmington Hills, MI 48334 | 2013-03-27 |
| 1437441714 | Ain Imaging Plc | Radiology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2011-05-05 |
| 1235438755 | Michael E Stone | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2011-03-23 |
| 1982918231 | Eric Albert Liao | Radiology | 1500 E Medical Center Dr, B1 Floor University Hospital Recp C, Ann Arbor, MI 48109-5030 | 2010-07-28 |
| Find all providers with the same taxonomy | ||||
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| 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.