Organization
MCGH COMPREHENSIVE BREAST SCREENING CENTER LLC
Active
Other names
MCRMC Comprehensive Breast Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LISTON (VICE PRESIDENT OF TREASURY)
(586) 741-4156
Entity
Organization
Contact information
Practice address
43900 GARFIELD RD, SUITE 202, CLINTON TOWNSHIP, MI 48038-1128
(586) 412-5150
(586) 412-5165
Mailing address
43900 GARFIELD RD, SUITE 202, CLINTON TOWNSHIP, MI 48038-1128
(586) 412-5150
(586) 412-5165
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4458682
—
MI
05
—
4458691
—
MI
05
—
4458726
—
MI
Enumeration date
11/08/2006
Last updated
06/19/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up