Provider Demographics
NPI:1801194865
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:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
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:248-307-9557
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:248-307-9557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment