Provider Demographics
NPI:1003571076
Name:ART OF RADIOLOGY IMAGING ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:ART OF RADIOLOGY IMAGING ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:GONDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-308-2745
Mailing Address - Street 1:26850 PROVIDENCE PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1253
Mailing Address - Country:US
Mailing Address - Phone:248-308-2745
Mailing Address - Fax:248-308-2747
Practice Address - Street 1:1 GENESYS PKWY
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8065
Practice Address - Country:US
Practice Address - Phone:248-308-2745
Practice Address - Fax:248-308-2747
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHFIELD RADIOLOGY ASSOCIATES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-04
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty