# MOBILE MRI STAFFING,LLC

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

## Provider details

- **NPI number:** 1629469416
- **Authorized official:** DR. MICHAEL K. LALA M.D. (RADIOLOGIST)
- **Authorized official phone:** (248) 225-6909

## Contact information

- **Practice address:** 26699 W 12 MILE RD, SUITE 106, SOUTHFIELD, MI 48034-1578
- **Practice address phone:** (248) 281-6905
- **Mailing address:** 3815 PINE HARBOR DR, WEST BLOOMFIELD, MI 48323-1650
- **Mailing address phone:** (248) 421-5809
- **Mailing address fax:** (248) 281-5905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 4301032840 | MI | Yes |

## Other

- **Enumeration date:** 02/15/2015
- **Last updated:** 02/15/2015
