Organization
PSI RADIOLOGICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR COLLADO M.D., PH.D (RADIOLOGIST)
(313) 656-2151
Entity
Organization
Contact information
Practice address
1320 WILKINS ST, DETROIT, MI 48207-4802
(313) 656-2151
(313) 656-2152
Mailing address
547 E JEFFERSON AVE, DETROIT, MI 48226-4324
(313) 962-2133
(313) 962-2134
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24834
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114483540
—
MI
01
—
AM010635
DR MAY
MI
01
—
JG006327
DR GOLDSMITH
MI
Enumeration date
04/10/2007
Last updated
05/02/2011
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