OrganizationActive
Advanced Diagnostic Medical Imaging PC
NPI 1639438062 · Diagnostic Radiology Physician · Grosse Ile, MI
Provider details
- NPI number
- 1639438062
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Allie Galovich, Biller(248) 593-9780
- License
- 5101011021 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
19891 Parke Ln
Grosse Ile, MI 48138-1027
Phone: (734) 671-6677
Approximate (ZIP-level) locationGet directions
Mailing address
19891 Parke Ln
Grosse Ile, MI 48138-1027
Registry dates
- Enumerated
- 2012-05-04
- Last updated
- 2013-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.