LINDEN ROAD IMAGING CENTER (NPI# 1548373483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548373483 |
| Entity Type | Organization |
| Organization Name | LINDEN ROAD IMAGING CENTER |
| Other Organization Name | LAPEER IMAGING CENTER |
| Practice Address |
1100 S Linden Road Ste C Flint MI 48532 |
| Mailing Address |
Po Box 4459 Flint MI 48504-0459 |
| Practice Telephone | 8107329131 |
| Practice Fax Number | 8107329149 |
| Mailing Telephone | 8104244761 |
| Mailing Fax Number | 8104244871 |
| Enumeration Date | 2006-08-16 |
| 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 | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
4301031703 | 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 | 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 | Allopathic & Osteopathic Physicians | |
| X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
4301037112 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM COMMON PROVIDER NO. | 300B54648 | 01 |
| Other Name | Type Code |
|---|---|
| LAPEER IMAGING CENTER | Doing Business As Name - Organization |
| Street Address |
1100 S LINDEN ROAD STE C |
| City | FLINT |
| State | MI |
| Zip Code | 48532 |
| 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 | 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 |
|---|---|---|---|---|
| 1083621981 | Ballenger Road Scanner LLC | Radiology | G 1071 N Ballenger Hwy, Suite 104, Flint, MI 48504 | 2006-08-02 |
| 1336156249 | Associated Radiologists of Flint PC | Radiology | Hurley Medical Center, One Hurley Plaza Radiology Dept, Flint, MI 48503 | 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 |
| 1558378455 | Greater Flint Imaging Center | Radiology | 4001 Walli Strasse, Suite A, Burton, MI 48509 | 2006-08-02 |
| 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.