# IHA HEALTH SERVICES CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Huron Valley CT Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336296946
- **Authorized official:** CYNTHIA A ELLIOTT (VP / CHIEF OPERATING OFFICER)
- **Authorized official phone:** (734) 747-6766

## Contact information

- **Practice address:** 4990 W CLARK RD, SUITE 300, YPSILANTI, MI 48197-1149
- **Practice address phone:** (734) 434-0539
- **Mailing address:** 24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 09/17/2012
