Henry Ford Macomb Imaging Center-Mt. Clemens

LBN: Henry Ford Macomb Ancillary Services
Henry Ford Macomb Imaging Center-Mt. Clemens is an health care organization with primary practice located at 133 S Main St , Mount Clemens MI 48043-2308. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Laboratories / Physiological Laboratory. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Henry Ford Macomb Ancillary Services can be contacted via phone (586) 468-1600, or through Goodbalian, Terry via phone (586) 263-2705.

Contact Information

Primary practice address
133 S Main St Mount Clemens MI 48043-2308
Phone: (586) 468-1600
Fax: (586) 465-0329
Website:
Map and Directions
Authorized official contact:
Name: Goodbalian, Terry
Phone: (586) 263-2705

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1689062911
LBN Legal business name Henry Ford Macomb Ancillary Services
DBA Doing business as Henry Ford Macomb Imaging Center-Mt. Clemens
Authorized official Goodbalian, Terry
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 9th, 2015
Last updated Mar 3rd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers