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Organization

SOUTHFIELD REHABILITATION COMPANY

Active
Other names
Surgeons Choice Imaging Center
Organization subpart
No

Provider details

NPI number
Authorized official
RONDA SELEY (MEDICAL STAFF COORDINATOR)
(248) 423-5198
Entity
Organization

Contact information

Practice address
11012 THIRTEEN MILE ROAD, SUITE 111, WARREN, MI 48093-2546
(586) 558-8470
(586) 558-8481
Mailing address
22401 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3724
(248) 423-5100
(248) 423-5186

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301046061
MI
261QR0208X
Mobile Radiology Clinic/Center
50C656
MI
282N00000X
General Acute Care Hospital
630013
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
032307
MIDWEST HEALTH PLAN
MI
01
135598501
U.S. DEPARTMENT OF LABOR
MI
05
283723740
MI
01
40003
BCBS
MI
01
700E021910
BCBS OF MICHIGAN
MI
Enumeration date
02/22/2008
Last updated
02/13/2026
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