Provider Demographics
NPI:1093950578
Name:MICHIGAN IMAGING, LLC
Entity Type:Organization
Organization Name:MICHIGAN IMAGING, LLC
Other - Org Name:MICHIGAN IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-593-1087
Mailing Address - Street 1:30150 TELEGRAPH RD
Mailing Address - Street 2:SUITE 185
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4519
Mailing Address - Country:US
Mailing Address - Phone:248-593-1087
Mailing Address - Fax:
Practice Address - Street 1:30150 TELEGRAPH RD
Practice Address - Street 2:SUITE 185
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4519
Practice Address - Country:US
Practice Address - Phone:248-593-1087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology