GREAT LAKES TELERADIOLOGY VENTURES LLC (NPI# 1457586083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457586083 |
Entity Type | Organization |
Organization Name | GREAT LAKES TELERADIOLOGY VENTURES LLC |
Other Organization Name | GREAT LAKES TELERADIOLOGY VENTURES PLLC |
Practice Address |
1165 S Linden Rd Ste. B Flint MI 48532 |
Practice Telephone | 8106006300 |
Practice Fax Number | 8106006222 |
Mailing Telephone | 8106006300 |
Mailing Fax Number | 8106006222 |
Enumeration Date | 2009-05-27 |
Last Update Date | 2014-07-30 |
Authorized Official Name | AMY SAAD (CREDENTIALER) |
Authorized Official Telephone | 3136554544 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 193400000X | MI | Other Service Providers |
Other Name | Type Code |
---|---|
Great Lakes Teleradiology Ventures PLLC | Former Legal Business Name - Organization |
Street Address |
1165 S LINDEN RD STE. B |
City | FLINT |
State | MI |
Zip Code | 48532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376532556 | Ethiraj Govinda Raj | Specialist | 1165 S Linden Rd, Flint, MI 48532-3406 | 2005-10-19 |
1639451693 | J M Hilliard | Physician Assistant | 1165 S Linden Rd, Flint, MI 48532-3406 | 2011-09-15 |
1063790467 | Sagar Mallikethi Lepakshi Reddy | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532 | 2011-08-02 |
1578898698 | Ct Center of Flint, Pllc | Clinic/Center | 1165 S Linden Rd, Flint, MI 48532-3406 | 2009-10-07 |
1982834826 | Ankush Moza | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532-3406 | 2009-07-24 |
1740434851 | Premier Medical Clinics PC | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532-3406 | 2008-11-17 |
1790949741 | Sherezade Khambatta | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532-3406 | 2008-07-17 |
1821272840 | David Auld Howell | Physician Assistant | 1165 S Linden Rd, Suite A, Flint, MI 48532-3406 | 2007-12-27 |
1780724468 | Mid-michigan Cardiology Associates Plc | Specialist | 1165 S Linden Rd, Flint, MI 48532-3406 | 2007-02-08 |
1205842242 | Lakshmana Rao Ayyagari | Specialist | 1165 S Linden Rd, Flint, MI 48532-3406 | 2006-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
Find all providers in zip 48532 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528414240 | Jonathan Wood | Specialist | 512 W 2nd Ave, Flint, MI 48503-2516 | 2016-05-11 |
1124393079 | Stephanie N Keller | Specialist | 338 Browning Ave, Flint, MI 48507-2621 | 2012-03-11 |
1154566727 | Daniel T Anbe | Specialist | 6326 W Cimarron Trl, Flint, MI 48532-2019 | 2008-12-10 |
1841444007 | Michigan Interventional Radiology Associates, PC | Specialist | 2370 S Linden Rd Ste 300, Flint, MI 48532-5429 | 2008-11-13 |
1689828188 | Mark Douglas Barton | Specialist | 1308 Ida St, Flint, MI 48503-3526 | 2008-11-11 |
1316104177 | Neelam Dutt Md PC | Specialist | G3535 Beecher Rd Ste H, Flint, MI 48532-2700 | 2008-05-20 |
1518145093 | Ahmed Zaki | Specialist | 1230 S Linden Rd, Flint, MI 48532-3459 | 2008-02-06 |
1558559575 | Flint Cardiovascular Assoc. Plc | Specialist | 1116 S Linden Rd Ste 14, Flint, MI 48532-3418 | 2007-10-04 |
1053513184 | Marta Bonkowski, M.d., P.C. | Specialist | 5105 W Bristol Rd, Flint, MI 48507-2921 | 2007-06-01 |
1639387244 | Michigan Gastroenterology Clinic, PC | Specialist | 5059 Villa Linde Pkwy Ste 28, Flint, MI 48532-3438 | 2007-05-18 |
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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.