Organization
STAR BRIGHT IMAGE GROUP, LLC
Active
Other names
Oak Park Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BARATTA (PRESIDENT)
(586) 469-1111
Entity
Organization
Contact information
Practice address
13161 W 10 MILE RD, OAK PARK, MI 48237-4630
(248) 291-6710
(248) 291-6718
Mailing address
13161 W 10 MILE RD, OAK PARK, MI 48237-4630
(248) 291-6710
(248) 291-6718
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D66715
STATE LICENCE NUMBER
MI
Enumeration date
05/16/2012
Last updated
08/28/2012
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