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Shores Diagnostic Llc
Radiology Clinic/Center in Hamtramck, Michigan
NPI 1235110289

Shores Diagnostic Llc is a Radiology Clinic/Center based in Hamtramck, MI and is specialized in Radiology. Shores Diagnostic Llc practices in Hamtramck, MI. The NPI Number for Shores Diagnostic Llc is 1235110289 and holds a License No. (Michigan).

The current practice location address for Shores Diagnostic Llc is 9800 Conant St, Hamtramck, MI and can be reached out via phone at 313-285-8728 and via fax at 313-784-9055.

Location: 9800 Conant St, Hamtramck, MI, 48212-3309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235110289
Provider Name
Shores Diagnostic Llc
Credential
Provider Entity Type
Organization
Address
9800 Conant St, Hamtramck, MI, 48212-3309
Phone Number
313-285-8728
Fax Number
313-784-9055
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114769270 05 MI
104763590 05 MI
104763580 05 MI
310E017130 01 MI BCBS OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
9800 Conant St
City
Hamtramck
State
Michigan
Zip
48212-3309
Phone Number
313-285-8728
Fax Number
313-784-9055
person
Provider Business Mailing Address Details
Address
9800 Conant St
City
Hamtramck
State
Michigan
Zip
48212-3309
Phone Number
313-285-8728
Fax Number
313-784-9055
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
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Definition
Definition to come...
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