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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