GREAT LAKES TELERADIOLOGY VENTURES LLC


Address: 1165 S Linden Rd, Ste. B, Flint, MI 48532
Phone: 8106006300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 193400000X MI Other Service Providers

Other Provider/Organization Names

Other Name Type Code
Great Lakes Teleradiology Ventures PLLC Former Legal Business Name - Organization

Office Location

Street Address 1165 S LINDEN RD
STE. B
City FLINT
State MI
Zip Code 48532

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City FLINT
Zip Code 48532

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Dataset Information

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.

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