Provider Demographics
NPI:1033416300
Name:HEALTHCARE IMAGING PARTNERS LLC
Entity Type:Organization
Organization Name:HEALTHCARE IMAGING PARTNERS LLC
Other - Org Name:MRI CENTERS OF MICHIGAN LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DORFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-291-5236
Mailing Address - Street 1:28180 JOHN R RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-2850
Mailing Address - Country:US
Mailing Address - Phone:248-291-5236
Mailing Address - Fax:
Practice Address - Street 1:28180 JOHN R RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-2850
Practice Address - Country:US
Practice Address - Phone:248-291-5236
Practice Address - Fax:248-590-0220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1033416300Medicaid