Organization
PRIME GARDEN CITY MEDICAL GROUP
Active
Parent organization
PRIME HEALTHCARE SERVICES--GARDEN CITY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HEALTHCARE SERVICES--GARDEN CITY, LLC
Authorized official
MRS. DARLA SUE PARSONS (EXECUTIVE DIRECTOR)
(734) 458-4490
Entity
Organization
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-4490
(734) 458-4723
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-4490
(734) 458-4723
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
09/22/2006
Last updated
12/14/2015
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