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Organization

INGHAM RADIOLOGY ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK CIMMERER MD (PRESIDENT)
(517) 372-9256
Entity
Organization

Contact information

Practice address
2909 E GRAND RIVER AVE, SUITE 102, LANSING, MI 48912-4300
(517) 372-9256
Mailing address
780 W LAKE LANSING RD, SUITE 800, EAST LANSING, MI 48823-8474
(517) 372-9256

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00465
PRIORITY HEALTH
MI
01
0C37602
BLUE CROSS BLUE SHIELD
MI
01
0C37603
BLUE CROSS BLUE SHIELD
MI
01
1002896
MCLAREN HEALTH ADVANTAGE
MI
01
1002897
MCLAREN HEALTH ADVANTAGE
MI
01
1017356
MCLAREN HEALTH ADVANTAGE
MI
01
105014
PREFERRED CHOICES
MI
01
9000251
HEALTHPLUS MI
MI
01
CE9698
RAILROAD MEDICARE
MI
01
CK0098
RAILROAD MEDICARE
MI
Enumeration date
08/04/2006
Last updated
08/22/2020
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