# CRYSTAL CLEAR HEALTH MANAGEMENT INC

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

## Provider details

- **NPI number:** 1780122804
- **Authorized official:** ARAK ISHAQ (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (586) 557-7302

## Contact information

- **Practice address:** 16100 19 MILE RD STE 200, CLINTON TOWNSHIP, MI 48038-1148
- **Practice address phone:** (586) 932-6303
- **Practice address fax:** (586) 932-6304
- **Mailing address:** 16100 19 MILE RD STE 200, CLINTON TOWNSHIP, MI 48038-1148
- **Mailing address phone:** (586) 932-6303
- **Mailing address fax:** (586) 932-6304

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2017
- **Last updated:** 02/09/2017