Provider Demographics
NPI:1841563053
Name:GREATER HEIGHTS DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:GREATER HEIGHTS DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:248-284-2484
Mailing Address - Street 1:25900 GREENFIELD RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1292
Mailing Address - Country:US
Mailing Address - Phone:248-284-2484
Mailing Address - Fax:855-587-1458
Practice Address - Street 1:25900 GREENFIELD RD
Practice Address - Street 2:SUITE 201
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1292
Practice Address - Country:US
Practice Address - Phone:248-284-2484
Practice Address - Fax:855-587-1458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile