# MAXIM MRI L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588190086
- **Authorized official:** MS. JENNIFER WATSON (ADMINISTRATOR)
- **Authorized official phone:** (248) 709-7072

## Contact information

- **Practice address:** 23832 SOUTHFIELD RD, SOUTHFIELD, MI 48075-8000
- **Practice address phone:** (248) 206-2990
- **Mailing address:** 22000 GREENFIELD RD, OAK PARK, MI 48237-2500
- **Mailing address phone:** (248) 206-2990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2017
- **Last updated:** 08/19/2020