Provider Demographics
NPI:1649397027
Name:MIDMICHIGAN REGIONAL IMAGING
Entity Type:Organization
Organization Name:MIDMICHIGAN REGIONAL IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-662-2802
Mailing Address - Street 1:4714 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MI
Mailing Address - Zip Code:48611-9434
Mailing Address - Country:US
Mailing Address - Phone:989-662-2818
Mailing Address - Fax:
Practice Address - Street 1:2618 W SUGNET RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-2647
Practice Address - Country:US
Practice Address - Phone:989-839-9002
Practice Address - Fax:989-839-1563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile