Organization
OMIC LLC
Active
Other names
Oakland MRI Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLIE GALOVICH (BUSINESS MANAGER)
(248) 681-8187
Entity
Organization
Contact information
Practice address
5119 ROCHESTER RD, TROY, MI 48085-3426
(248) 740-0777
(248) 740-0777
Mailing address
5119 ROCHESTER RD, TROY, MI 48085-3426
(248) 740-0777
(248) 740-0777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166815
GLHP
MI
01
—
300F359020
BCBSM
MI
Enumeration date
03/30/2007
Last updated
07/07/2008
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