Organization
MED-SCAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAKASH GANDHI (PRESIDENT)
(248) 827-7200
Entity
Organization
Contact information
Practice address
G3259 BEECHER RD, FLINT, MI 48532-3615
(810) 732-1560
(810) 732-0300
Mailing address
26222 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48034-5318
(248) 827-7200
(248) 827-2641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B56252
BCBS
MI
Enumeration date
05/22/2007
Last updated
07/01/2008
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