Organization
SOUTHEAST MICHIGAN IMAGING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC OTT (CEO)
(313) 427-8660
Entity
Organization
Contact information
Practice address
15201 CENTURY DR, SUITE 606, DEARBORN, MI 48120-1232
(313) 427-8660
(313) 427-8667
Mailing address
15201 CENTURY DR, SUITE 606, DEARBORN, MI 48120-1232
(313) 427-8660
(313) 427-8667
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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