Provider Demographics
NPI:1972849172
Name:CENTRAL MEDICAL IMAGING, INC.
Entity Type:Organization
Organization Name:CENTRAL MEDICAL IMAGING, INC.
Other - Org Name:CMI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIJA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKOLOVSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-543-7226
Mailing Address - Street 1:26454 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-0969
Mailing Address - Country:US
Mailing Address - Phone:248-543-7226
Mailing Address - Fax:248-399-7226
Practice Address - Street 1:26454 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-0969
Practice Address - Country:US
Practice Address - Phone:248-543-7226
Practice Address - Fax:248-399-7226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology