OrganizationActive
Medical Management Support Services Inc
NPI 1487841367 · Radiologic Technologist · Southfield, MI
Provider details
- NPI number
- 1487841367
- Entity type
- Organization
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- Clarence Dixon, Practice Manager
Practice location
29829 Telegraph Rd
Suite 202
Southfield, MI 48034-1330
Phone: (248) 357-0242
Fax: (248) 357-0314
Mailing address
29829 Telegraph Rd
Southfield, MI 48034-1330
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2007-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.