Provider Demographics
NPI:1619042017
Name:RDM CENTER, INC.
Entity Type:Organization
Organization Name:RDM CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-844-0065
Mailing Address - Street 1:5820 N LILLEY RD
Mailing Address - Street 2:SUITE. 7
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3686
Mailing Address - Country:US
Mailing Address - Phone:734-844-0065
Mailing Address - Fax:
Practice Address - Street 1:5820 N LILLEY RD
Practice Address - Street 2:SUITE 7
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3686
Practice Address - Country:US
Practice Address - Phone:734-884-0065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center