OrganizationActive
Henry Ford Macomb Ancillary Services
NPI 1689062911 · Radiology Clinic/Center · Mount Clemens, MI
Provider details
- NPI number
- 1689062911
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Henry Ford Macomb Hospital Corporation
- Organization subpart
- Yes
- Authorized official
- Terry Goodbalian, Vp Finance & Cfo Hfmacomb(586) 263-2705
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physiological Laboratory293D00000X
Laboratories
Practice location
133 S Main St
Mount Clemens, MI 48043-2308
Phone: (586) 468-1600
Fax: (586) 465-0329
Approximate (ZIP-level) locationGet directions
Mailing address
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Other names (DBA / former)
- Other name
- Henry Ford Macomb Imaging Center-Mt. Clemens
Registry dates
- Enumerated
- 2015-01-09
- Last updated
- 2015-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.