Organization
CENTRUM DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE O DIXON (PRESIDENT)
(248) 663-5311
Entity
Organization
Contact information
Practice address
24901 NORTHWESTERN HWY, SUITE 205, SOUTHFIELD, MI 48075-2203
(248) 746-0882
(248) 357-2380
Mailing address
PO BOX 382, TROY, MI 48099-0382
(248) 746-0882
(248) 357-2380
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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