IndividualActive
Brad Kalleberg, RT (R)
NPI 1295125409 · Radiologic Technologist · Livonia, MI
Provider details
- NPI number
- 1295125409
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RT (R)
- Sex
- Male
- Sole proprietor
- Yes
- License
- 471704 (MN)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
38777 6 Mile Rd
Livonia, MI 48152-2694
Phone: (734) 452-0395
Fax: (877) 414-9925
Approximate (ZIP-level) locationGet directions
Mailing address
38777 6 Mile Rd
Livonia, MI 48152-2694
Registry dates
- Enumerated
- 2015-01-26
- Last updated
- 2015-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.