MICHAEL LALA MD PC (NPI# 1417252016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417252016 |
| Entity Type | Organization |
| Organization Name | MICHAEL LALA MD PC |
| Other Organization Name | SOUTH ALLEN RADIOLOGY |
| Practice Address |
3815 Pine Harbor Dr West Bloomfield MI 48323-1650 |
| Practice Telephone | 2482256909 |
| Practice Fax Number | 2486818589 |
| Mailing Telephone | 2482256909 |
| Mailing Fax Number | 2486818589 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-03-30 |
| Authorized Official Name | DR. MICHAEL K LALA (PRESIDENT) |
| Authorized Official Telephone | 2482256909 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301032840 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2106018 | 05 | |
| MI | BCBS OF MICHIGAN | 3008214141 | 01 |
| Other Name | Type Code |
|---|---|
| south allen radiology | Doing Business As Name - Organization |
| Street Address |
3815 PINE HARBOR DR |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48323-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235503301 | James K. Uhes | Occupational Therapist | 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 | 2015-11-30 |
| 1700253283 | Max Elder | Specialist/Technologist | 2387 Scotch Pine St, West Bloomfield, MI 48323 | 2015-08-31 |
| 1952792400 | Michael Cataldo | Technician, Other | 6626 Torybrooke Ct, West Bloomfield, MI 48323 | 2015-02-05 |
| 1982944666 | Steven Nathan Rives | Internal Medicine | 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 | 2013-02-18 |
| 1275871832 | Detroit Medical Center Sinai Grace Hospital | General Acute Care Hospital | 3495 Pine Estates Drive, West Bloomfield, MI 48323 | 2013-01-16 |
| 1295090793 | Advance Health Care System, LLC | Massage Therapist | 4267 Foxpoint, West Bloomfield, MI 48323 | 2012-07-10 |
| 1841566700 | Eduardo Rivera | Pathology | 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 | 2012-03-26 |
| 1952611782 | Debra Mary Gregory PC LLC | Social Worker | 7130 Walnut Lake Road, West Bloomfield, MI 48323 | 2010-10-14 |
| 1033362793 | Alvin Yousif Daboul | Dentist | 2332 Hiller Road, West Bloomfield, MI 48323 | 2008-10-28 |
| 1386846574 | Jerald B Maltzman | Radiology | 4744 Wendrick Dr, W. Bloomfield, MI 48323 | 2007-06-01 |
| Find all providers in zip 48323 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 |
|---|---|---|---|---|
| 1720444862 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 5638 Northington Ct, West Bloomfield, MI 48322-1350 | 2016-01-05 |
| 1023320306 | Sheil Shah | Radiology | 2614 Comfort St, West Bloomfield, MI 48323-3707 | 2010-07-02 |
| 1770509853 | Alisa Esther Goldstein | Radiology | 5560 Wildridge Ln, West Bloomfield, MI 48322-4001 | 2006-07-14 |
| 1710952601 | Steven Lewin | Radiology | 3775 Orchard Lake Rd Apt 103, West Bloomfield, MI 48324-1600 | 2006-02-22 |
| 1184792822 | Mark G. Weingarden | Radiology | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-12-01 |
| 1083667430 | Harvey Minkin | Radiology | 7001 Orchard Lake Rd, Suite 122, West Bloomfield, MI 48322-3604 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1295204253 | Easy Imaging, LLC | Radiology | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2018-11-20 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1336626696 | Quantum Medical Radiology of California, P.C. | Radiology | 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 | 2018-07-19 |
| 1376072488 | Cambridge Institute of Minimally Invasive Therapies Pllc | Radiology | 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48323 |
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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.