Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EASTSIDE DIAGNOSTICS LLC
Active
Organization
EASTSIDE DIAGNOSTICS LLC
Active
Parent organization
MAXIM L.L.C.
Other names
Maxim MRI
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAXIM L.L.C.
Authorized official
JENNIFER WATSON NP-C (ADMINISTRATOR)
(248) 709-7072
Entity
Organization
Contact information
Practice address
25100 KELLY RD STE B, ROSEVILLE, MI 48066-4910
(248) 262-7379
Mailing address
22000 GREENFIELD RD, OAK PARK, MI 48237-2500
(248) 709-7072
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers