Provider Demographics
NPI:1992866438
Name:OSTEOPOROSIS TESTING CENTERS INC
Entity Type:Organization
Organization Name:OSTEOPOROSIS TESTING CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLASKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-827-1110
Mailing Address - Street 1:26206 W 12 MILE ROAD
Mailing Address - Street 2:STE 103
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034
Mailing Address - Country:US
Mailing Address - Phone:248-827-1110
Mailing Address - Fax:248-827-1119
Practice Address - Street 1:26206 W 12 MILE ROAD
Practice Address - Street 2:STE 103
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034
Practice Address - Country:US
Practice Address - Phone:248-827-1110
Practice Address - Fax:248-827-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
110F371520OtherBCBS
OF37152Medicare ID - Type Unspecified