STAR BRIGHT IMAGE GROUP, LLC (NPI# 1568721140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568721140 |
| Entity Type | Organization |
| Organization Name | STAR BRIGHT IMAGE GROUP, LLC |
| Other Organization Name | OAK PARK IMAGING |
| Practice Address |
13161 W 10 Mile Rd Oak Park MI 48237-4630 |
| Practice Telephone | 2482916710 |
| Practice Fax Number | 2482916718 |
| Mailing Telephone | 2482916710 |
| Mailing Fax Number | 2482916718 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | CHRISTOPHER BARATTA (PRESIDENT) |
| Authorized Official Telephone | 5864691111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENCE NUMBER | D66715 | 01 |
| Other Name | Type Code |
|---|---|
| Oak Park Imaging | Doing Business As Name - Organization |
| Street Address |
13161 W 10 MILE RD |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508297144 | Coolidge Imaging LLC | Clinic/Center | 13161 W 10 Mile Rd, Oak Park, MI 48237-4630 | 2013-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| 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 |
|---|---|---|---|---|
| 1851608756 | Vikram Krishan Sobti | Radiology | 949 Fair Oaks Ave, Oak Park, IL 60302-1335 | 2010-09-13 |
| 1881827277 | Gesl Medical Imaging Md Sc Ltd | Radiology | 930 Forest Ave, Oak Park, IL 60302-1310 | 2009-09-01 |
| 1386865988 | Eyal Ron | Radiology | 325 Southridge Dr, Oak Park, CA 91377 | 2007-05-01 |
| 1821009440 | Bob Kao | Radiology | 3 Erie Court, West Suburban Hospital, Oak Park, IL 60302-2519 | 2006-08-10 |
| 1245221837 | Sudheer Paruchuri | Radiology | 1515 N Harlem Ave Ste 100, Oak Park, IL 60302-1205 | 2005-11-02 |
| 1386291664 | Innovative Vascular and Therapeutics, Pllc | Radiology | 1515 N Harlem Ave Ste 100, Oak Park, IL 60302-1205 | 2019-08-21 |
| 1073980983 | Advanced Vascular Institute & Cancer Care | Radiology | 1515 N Harlem Ave, Suite 100, Oak Park, IL 60302-1250 | 2015-08-26 |
| 1346337565 | Village Radiology Ltd | Radiology | 3 Erie Court, West Suburban Hospital, Oak Park, IL 60302-2519 | 2006-10-08 |
| 1952492407 | Robert Brossard | Radiology | 3 Erie Court, West Suburban Hospital, Oak Park, IL 60302-2519 | 2006-09-28 |
| 1114036829 | Donald F Koch | Radiology | 3 Erie Court, West Suburban Hospital, Oak Park, IL 60302-2519 | 2006-08-29 |
| Find all providers in OAK PARK | ||||
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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.