Organization
PEGASUS DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUFIQUL ISLAM (PRESIDENT/CEO)
(313) 312-3932
Entity
Organization
Contact information
Practice address
29230 RYAN RD STE C-1, WARREN, MI 48092-4274
(313) 312-3932
Mailing address
29230 RYAN RD STE C-1, WARREN, MI 48092-4274
(313) 312-3932
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
MI
Other
Enumeration date
11/27/2017
Last updated
07/04/2022
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