| Diagnostic Ultrasound Clinic | |
|
2575 Spring Arbor Rd Suite 200 Jackson MI 49203-3652 | |
| (517) 784-0020 | |
| (517) 787-8329 |
| Full Name | Diagnostic Ultrasound Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 2575 Spring Arbor Rd, Jackson, Michigan |
| Authorized Official Name and Position | Imdad H Butt (PRESIDENT) |
| Authorized Official Contact | 5177840020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Ultrasound Clinic 2575 Spring Arbor Rd Suite 200 Jackson MI 49203-3652 Ph: (517) 784-0020 | Diagnostic Ultrasound Clinic 2575 Spring Arbor Rd Suite 200 Jackson MI 49203-3652 Ph: (517) 784-0020 |
| NPI Number | 1003118217 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 11/19/2010 |
| Medicare PECOS PAC ID | 5890983530 |
|---|---|
| Medicare Enrollment ID | O20101222000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003118217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Imdad H Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548210487 PECOS PAC ID: 1557555810 Enrollment ID: I20101101000042 |
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