OrganizationActive
Eastland Diagnostic PC
NPI 1629119649 · Radiology Clinic/Center · Roseville, MI
Eastland Diagnostic PC is a Radiology Clinic/Center organization in Roseville, MI (NPI 1629119649).
Provider details
- NPI number
- 1629119649
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mehdi Mahmoodzadegan, President(586) 779-4610
- License
- 4301032665 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25710 Kelly Rd
Roseville, MI 48066-4959
Phone: (586) 779-4610
Fax: (586) 779-0003
Street-level locationGet directions
Mailing address
25710 Kelly Rd
Roseville, MI 48066-4959
Registry dates
- Enumerated
- 2007-02-11
- Last updated
- 2008-04-20
Frequently asked questions
- What is Eastland Diagnostic PC's NPI number?
- Eastland Diagnostic PC's National Provider Identifier (NPI) is 1629119649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastland Diagnostic PC?
- Eastland Diagnostic PC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Eastland Diagnostic PC located?
- Eastland Diagnostic PC's practice location on file with NPPES is 25710 Kelly Rd, Roseville, MI 48066-4959.
- What is Eastland Diagnostic PC's phone number?
- The practice phone number listed in the NPPES registry for Eastland Diagnostic PC is (586) 779-4610.
- Who is the authorized official for Eastland Diagnostic PC?
- The authorized official listed on Eastland Diagnostic PC's NPPES record is Mehdi Mahmoodzadegan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastland Diagnostic PC's NPI active?
- Yes — Eastland Diagnostic PC's NPI (1629119649) is active in the NPPES registry as of the last update on 2008-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.