Organization
OP THERAPY, LLC
Active
Other names
In-House Diagnostic Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COOKE (PRESIDENT)
(800) 950-3005
Entity
Organization
Contact information
Practice address
7760 KOCHVILLE RD, FREELAND, MI 48623-8655
(517) 695-6626
(517) 695-6873
Mailing address
7760 KOCHVILLE RD, FREELAND, MI 48623-8655
(517) 695-6626
(517) 695-6873
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Z30031
BCBS TECHNICAL COMPONENT PIN
MI
01
—
700Z300280
BCBSM PIN
MI
01
—
P00816167
MEDICARE RAILROAD MOBLE XRAY PIN (ONE PER TAX ID)
MI
Enumeration date
12/15/2008
Last updated
03/16/2011
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