Organization
OPEN MRI OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JOHNSON (DIRECTOR)
(586) 228-4560
Entity
Organization
Contact information
Practice address
411 W 13 MILE RD, SUITE 200, MADISON HEIGHTS, MI 48071-1536
(248) 585-4569
(248) 585-4620
Mailing address
43750 GARFIELD RD, SUITE 211, CLINTON TOWNSHIP, MI 48038-1135
(877) 996-9975
(586) 228-4533
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F30087
BCBSM GROUP NUMBER
MI
Enumeration date
08/24/2007
Last updated
08/29/2007
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