# ST. JOHN MACOMB-OAKLAND HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MRI Center Oakland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417983990
- **Authorized official:** MS. JENNIFER JOHNSON (DIRECTOR)
- **Authorized official phone:** (877) 996-9975

## Contact information

- **Practice address:** 27379 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
- **Practice address phone:** (248) 398-4488
- **Practice address fax:** (248) 398-4994
- **Mailing address:** 43750 GARFIELD RD, SUITE 211, CLINTON TOWNSHIP, MI 48038-1135
- **Mailing address phone:** (586) 228-4652
- **Mailing address fax:** (586) 228-4533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | MI | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | MI | Yes |
| 261QR0200X | Radiology Clinic/Center | — | MI | — |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 01/27/2011