Organization
BALD MOUNTAIN DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ROBERTSON D.O. (PRESIDENT)
(248) 814-7800
Entity
Organization
Contact information
Practice address
1375 S LAPEER RD, STE 104, LAKE ORION, MI 48360-1421
(248) 814-7800
(248) 814-7801
Mailing address
1375 S LAPEER RD, STE 104, LAKE ORION, MI 48360-1421
(248) 814-7800
(248) 814-7801
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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