# PSI RADIOLOGICAL SERVICE, INC

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

## Provider details

- **NPI number:** 1912078536
- **Authorized official:** DR. VICTOR COLLADO M.D,. PH.D (RADIOLOGIST)
- **Authorized official phone:** (313) 962-2133

## Contact information

- **Practice address:** 8529 E 8 MILE RD, WARREN, MI 48089-3067
- **Practice address phone:** (586) 619-7025
- **Practice address fax:** (586) 619-7267
- **Mailing address:** 547 E JEFFERSON AVE, DETROIT, MI 48226-4324
- **Mailing address phone:** (313) 962-2133
- **Mailing address fax:** (313) 962-2134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24834 | MI | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 04/23/2011