OrganizationActive
William Beaumont Hospital
NPI 1164466801 · Nuclear Medicine Physician · Royal Oak, MI
Provider details
- NPI number
- 1164466801
- Entity type
- Organization
- Primary specialty
- Nuclear Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- William Beaumont Hospitals
- Organization subpart
- Yes
- Authorized official
- Lee Odom, President Shared Services(947) 522-3326
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 423-2454
Approximate (ZIP-level) locationGet directions
Mailing address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Other names (DBA / former)
- Doing business as
- Beaumont Professional Services
- Doing business as
- Beaumont Professional Services
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2021-10-01
- Certified
- 2021-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.