Organization
LAKEPOINTE RADIOLOGY, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN G PATEL MD (PRESIDENT)
(313) 343-1562
Entity
Organization
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 343-1630
(313) 343-1631
Mailing address
PO BOX 1108, ATTN: BARB SIMMONS, ANN ARBOR, MI 48106-1108
(734) 677-7400
(734) 677-7407
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310H249790
BCBS GROUP#
MI
01
—
CB6220
RR MEDICARE#
MI
Enumeration date
07/30/2006
Last updated
12/17/2009
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