Provider Demographics
NPI:1558468751
Name:ASSOCIATED RADIOLOGISTS OF OAKLAND COUNTY PC
Entity Type:Organization
Organization Name:ASSOCIATED RADIOLOGISTS OF OAKLAND COUNTY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:PINK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-620-0758
Mailing Address - Street 1:44405 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-5023
Mailing Address - Country:US
Mailing Address - Phone:248-620-9199
Mailing Address - Fax:
Practice Address - Street 1:44405 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-5023
Practice Address - Country:US
Practice Address - Phone:248-620-9199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI022735OtherHEALTH ALLIANCE PLAN
MI0F37647OtherBLUE CROSS BLUE SHIELD
MI1001640OtherMCLAREN HEALTH PLAN
MIRA630033OtherM-CARE
MI000000001657OtherCAPE HEALTH PLAN
MI0A37646OtherHEALTHPLUS OF MI
MI0F37646OtherBLUE CROSS BLUE SHIELD
MI320503OtherULTIMED
MI9000106OtherHEALTHPLUS PARTNERS
MICA3475OtherRAILROAD MEDICARE
MI320503OtherULTIMED
MI0F36086Medicare ID - Type Unspecified