Organization
PSI RADIOLOGICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR COLLADO M.D., PHD (RADIOLOGIST)
(810) 333-8026
Entity
Organization
Contact information
Practice address
503 W GRAND BLVD, DETROIT, MI 48216-2200
(313) 841-3310
(313) 841-6513
Mailing address
547 E JEFFERSON AVE, DETROIT, MI 48226-4324
(313) 962-2133
(313) 962-2134
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
07/03/2007
Last updated
05/04/2011
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