MAXIM MRI L.L.C. (NPI# 1588190086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588190086 |
| Entity Type | Organization |
| Organization Name | MAXIM MRI L.L.C. |
| Practice Address |
23832 Southfield Rd Southfield MI 48075-8000 |
| Mailing Address |
22000 Greenfield Rd Oak Park MI 48237-2500 |
| Practice Telephone | 2482062990 |
| Mailing Telephone | 2482062990 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | MS. JENNIFER WATSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2487097072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Street Address |
23832 SOUTHFIELD RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609836428 | Hematology-oncology Center of Michigan | Specialist | 23832 Southfield Rd, Southfield, MI 48075-8017 | 2006-03-24 |
| 1922646199 | Mona M Farah-qaimari | Nurse Practitioner | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2019-12-18 |
| 1346890639 | Michele Yono | Physician Assistant | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2019-09-18 |
| 1053976951 | Rafik E Mansour | Physician Assistant | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2019-05-06 |
| 1184181166 | Matthew Matty | Physician Assistant | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2019-02-26 |
| 1245705490 | Danielle Dicicco | Nurse Practitioner | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2018-10-03 |
| 1982156519 | Angela Moder | Nurse Practitioner | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2016-10-31 |
| 1225423031 | Natakki Wheatley | Family Medicine | 23832 Southfield Rd, Southfield, MI 48075 | 2015-03-30 |
| 1811278716 | Southfield City Urgent Care PC | Clinic/Center | 23832 Southfield Rd, Southfield, MI 48075-8017 | 2011-09-06 |
| 1114224870 | Shree Radhekrishna LLC | Pharmacy | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2011-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982997078 | Affiliated Diagnostic of Oakland LLC | Clinic/Center | 26550 Northwestern Hwy, Southfield, MI 48076-3741 | 2011-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640329 | Eastside Diagnostics LLC | Clinic/Center | 25100 Kelly Rd Ste B, Roseville, MI 48066-4910 | 2020-08-19 |
| 1114579315 | Ami LLC | Clinic/Center | 4132 Schaefer Rd, Dearborn, MI 48126-3683 | 2019-07-09 |
| 1629394457 | Great Lakes Musculoskeletal Ultrasound Inc. | Clinic/Center | 6928 Coleman St, Dearborn, MI 48126-1776 | 2010-04-19 |
| 1265668057 | Digital Diagnostic Imaging | Clinic/Center | 2067 N Opdyke Rd, Auburn Hills, MI 48326-2432 | 2009-06-08 |
| 1164609202 | Sonopros, Inc. | Clinic/Center | 6051 Kingsfield Dr, West Bloomfield, MI 48322-1467 | 2008-01-30 |
| 1538349006 | Synergy Mobile Imaging LLC | Clinic/Center | 3591 Schumann Road Unit #13, Mobile Idtf, Bay City, MI 48706 | 2007-11-13 |
| 1447477617 | Alliance Healthcare Services Inc | Clinic/Center | 4599 Towne Centre Rd, Saginaw, MI 48604-2804 | 2007-04-19 |
| 1386708113 | Complete Diagnostic Services Inc | Clinic/Center | 2289 Star Ct, Rochester Hills, MI 48309-3625 | 2006-12-19 |
| 1336704311 | Genesis Md Diagnostic Imaging PC | Clinic/Center | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-05-06 |
| 1639589609 | Saginaw Mir Management and Consulting, Inc. | Clinic/Center | 5815 Bay Rd, Suite 601, Saginaw, MI 48604-2542 | 2014-04-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.