BOTSFORD MEDICAL IMAGING, PC
NPI 1124073762
Radiology - Diagnostic Radiology in Farmington Hills, MI
NPI Status: Active since May 23, 2006
Contact Information
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI
ZIP 48336
Phone: (248) 471-8371
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- CLIA Number: 23D2141244
- CLIA Cert. Type: Other - CANCER CENTER
- CLIA Exp. Date: 12-10-2025
About BOTSFORD MEDICAL IMAGING, PC
This page provides the complete NPI Profile along with additional information for Botsford Medical Imaging, Pc, a provider established in Farmington Hills, Michigan operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1124073762 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Timothy Mcknight Do (Head Of Group)
- NPI
- 1124073762
- Provider Name
- BOTSFORD MEDICAL IMAGING, PC
- Entity Type
- Organization
- Location Address
- 28050 GRAND RIVER AVE FARMINGTON HILLS, MI 48336
- Location Phone
- (248) 471-8371
- Mailing Address
- 28050 GRAND RIVER AVE FARMINGTON HILLS, MI 48336
- Mailing Phone
- (248) 471-8371
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-23-2006
- Last Update Date
- 02-24-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze Saver HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
- MyPriority Enhanced Gold Trinity Health East Network - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Trinity Health East Network - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Southeast Michigan Network - HMO
- MyPriority Standard Bronze - Travel - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| XX25381 | OTHER (01) | MI | HEALTHPLUS OF MI |
| RA630003 | OTHER (01) | MI | M-CARE |
| 4468121 | OTHER (01) | MI | AETNA |
| 025821 | OTHER (01) | MI | MIDWEST HEALTH PLAN |
| 0F31877 | OTHER (01) | MI | BLUE CROSS BLUE SHIELD |
| 600970 | OTHER (01) | MI | ULTIMED |
| 005741 | OTHER (01) | MI | HAP |
| 506640 | OTHER (01) | MI | PREFERRED CHOICES |
| 506640 | OTHER (01) | MI | CARE CHOICES |
| 136309000 | OTHER (01) | MI | US DEPT OF LABOR WORKCOMP |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D2141244
- Facility Type
- Other - CANCER CENTER
- Certificate Effective Date
- December 11, 2023
- Certificate Expiration Date
- December 10, 2025
- Laboratory Director
- JAMES F. FONTANESI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Botsford Medical Imaging, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124073762, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124073762, enumerated as an "organization" on May 23, 2006.
The provider is located at 28050 GRAND RIVER AVE FARMINGTON HILLS, MI 48336 and the phone number is (248) 471-8371.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
