CT CENTER OF FLINT, PLLC (NPI# 1578898698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578898698 |
Entity Type | Organization |
Organization Name | CT CENTER OF FLINT, PLLC |
Other Organization Name | PREMIER IMAGING CENTERS |
Practice Address |
1165 S Linden Rd Flint MI 48532-3406 |
Mailing Address |
1165 S Linden Rd Suite B Flint MI 48532-3406 |
Practice Telephone | 8106006300 |
Practice Fax Number | 8106006222 |
Mailing Telephone | 8106006300 |
Mailing Fax Number | 8106006222 |
Enumeration Date | 2009-10-07 |
Last Update Date | 2010-02-09 |
Authorized Official Name | DR. ETHIRAJ G RAJ (PARTNER) |
Authorized Official Telephone | 8106006300 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | PREMIER MEDICAL CLINICS, PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Premier Imaging Centers | Doing Business As Name - Organization |
Street Address |
1165 S LINDEN RD |
City | FLINT |
State | MI |
Zip Code | 48532-3406 |
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 |
1982834826 | Ankush Moza | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532-3406 | 2009-07-24 |
1457586083 | Great Lakes Teleradiology Ventures LLC | Specialist | 1165 S Linden Rd, Ste. B, Flint, MI 48532 | 2009-05-27 |
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 | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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1003105420 | Envision Diagnostic Ultrasound Imaging LLC | Clinic/Center | 2715 Seneca St, Flint, MI 48504-5106 | 2011-04-06 |
1225413446 | Precision Diagnostics and Imaging LLC | Clinic/Center | 4800 S Saginaw St, Flint, MI 48507-2677 | 2015-07-29 |
1255654117 | Insight Radiologists PC | Clinic/Center | 4800 S Saginaw St, Suite 1805, Flint, MI 48507-2669 | 2010-03-08 |
1629208137 | Insight Imaging PC | Clinic/Center | 4800 S Saginaw St, Suite 1650, Flint, MI 48507-2669 | 2009-07-17 |
1154530517 | Med-scan, Inc | Clinic/Center | G3259 Beecher Rd, Flint, MI 48532-3615 | 2007-05-22 |
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1972092831 | Bellin Health Iron Mountain Inc | Clinic/Center | 2001 Minneapolis Ave Ste D, Gladstone, MI 49837-2060 | 2018-05-07 |
1437676871 | Diagnostic Solutions Pllc | Clinic/Center | 29877 Telegraph Rd Ste 400b, Southfield, MI 48034-7661 | 2017-08-25 |
1659769867 | Pavilion Imaging, LLC | Clinic/Center | 29201 Telegraph Rd Ste L-01, Southfield, MI 48034-1301 | 2014-12-23 |
1174848600 | Professional Diagnostic Imagiging Pllc | Clinic/Center | 4284 Echo Rd, Bloomfield Hills, MI 48302-1943 | 2010-03-27 |
1649592767 | Iha of Ann Arbor PC | Clinic/Center | 4936 W Clark Rd Ste 100, Ypsilanti, MI 48197-0861 | 2010-02-16 |
1760717995 | 3d Imaging Center, LLC | Clinic/Center | 9041 N Rodgers Ct Se Ste B, Caledonia, MI 49316-7660 | 2009-10-06 |
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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.