OrganizationActive
Advanced Imaging of Michigan
NPI 1174621783 · Specialist · Waterford, MI
Provider details
- NPI number
- 1174621783
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Roger Fenton, Director/Ceo(248) 889-9282
- License
- RF006368 (MI)
Specialties & taxonomies
Other Service Providers
Practice location
7092 Highland Rd Pmb 205
Waterford, MI 48327-1502
Phone: (248) 889-9282
Fax: (248) 889-7534
Approximate (ZIP-level) locationGet directions
Mailing address
7092 Highland Rd Pmb 205
Waterford, MI 48327-1502
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.