Organization
REGIONAL MEDICAL IMAGING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY D HICKS MD (OWNER)
(810) 732-1919
Entity
Organization
Contact information
Practice address
3346 LENNON RD, FLINT, MI 48507-1015
(810) 732-1919
(810) 732-1945
Mailing address
3346 LENNON RD, SUITE 2, FLINT, MI 48507-1015
(810) 244-7109
(810) 732-3740
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301048682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310B562940
BS & BCN PROVIDER NUMBER
MI
Enumeration date
07/18/2005
Last updated
06/05/2009
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