Provider Demographics
NPI:1639589609
Name:SAGINAW MIR MANAGEMENT AND CONSULTING, INC.
Entity Type:Organization
Organization Name:SAGINAW MIR MANAGEMENT AND CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMER
Authorized Official - Middle Name:
Authorized Official - Last Name:IQBAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-732-8336
Mailing Address - Street 1:4800 S SAGINAW ST
Mailing Address - Street 2:SUITE 1650
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2677
Mailing Address - Country:US
Mailing Address - Phone:810-275-9688
Mailing Address - Fax:810-963-1900
Practice Address - Street 1:5815 BAY RD
Practice Address - Street 2:SUITE 601
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2542
Practice Address - Country:US
Practice Address - Phone:810-275-9688
Practice Address - Fax:810-963-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile