Organization
MAXIM MRI L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER WATSON (ADMINISTRATOR)
(248) 709-7072
Entity
Organization
Contact information
Practice address
23832 SOUTHFIELD RD, SOUTHFIELD, MI 48075-8000
(248) 206-2990
Mailing address
22000 GREENFIELD RD, OAK PARK, MI 48237-2500
(248) 206-2990
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
08/19/2020
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