Individual
LUKE KOPULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 SERVICE ROAD, ROOM D100, EAST LALNSING, MI 48824-7062
(517) 355-5053
(517) 432-4394
Mailing address
804 SERVICE ROAD, ROOM D100, EAST LALNSING, MI 48824-7062
(517) 355-5053
(517) 432-4394
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-136931
IL
2085R0202X
Diagnostic Radiology Physician
4301102549
MI
390200000X
Student in an Organized Health Care Education/Training Program
125052708
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245436013
—
MI
Enumeration date
06/26/2007
Last updated
04/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us