# GREAT LAKES MUSCULOSKELETAL ULTRASOUND INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Lakes MSK US INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629394457
- **Authorized official:** VERONICA RODRIGUEZ R.T. R RDMS (PRESIDENT)
- **Authorized official phone:** (313) 258-6131

## Contact information

- **Practice address:** 6928 COLEMAN ST, DEARBORN, MI 48126-1776
- **Practice address phone:** (313) 258-6131
- **Practice address fax:** (517) 702-2944
- **Mailing address:** 6928 COLEMAN ST, DEARBORN, MI 48126-1776
- **Mailing address phone:** (313) 258-6131
- **Mailing address fax:** (517) 702-2944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | 41833 | MI | Yes |

## Other

- **Enumeration date:** 04/19/2010
- **Last updated:** 04/19/2010