Provider Demographics
NPI:1912011891
Name:BONE DENSITY SPECIALISTS PLC
Entity Type:Organization
Organization Name:BONE DENSITY SPECIALISTS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:B
Authorized Official - Last Name:NAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-414-2380
Mailing Address - Street 1:1220 E NINE MILE RD
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-2521
Mailing Address - Country:US
Mailing Address - Phone:248-414-2382
Mailing Address - Fax:888-527-3506
Practice Address - Street 1:1220 E 9 MILE RD
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1972
Practice Address - Country:US
Practice Address - Phone:248-414-2382
Practice Address - Fax:888-527-3506
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED MOBILE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-18
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N99900Medicare ID - Type Unspecified
MI0N99880Medicare ID - Type Unspecified