SUSAN FEDELE
NPI 1184040156
Radiologic Technologist - Mammography in Saranac, MI

Active since March 13, 2014
6715 PARADISE PARK, SARANAC, MI 48881(616) 402-0756 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Fedele NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN FEDELE (NPI 1184040156) is an individual mammography provider in Saranac, Michigan, licensed in Michigan (221859) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1184040156
Entity TypeIndividualFemale
Primary Taxonomy2471M2300X
Provider Legal NameSUSAN FEDELE
Location Address6715 PARADISE PARKSaranac, MI 48881-8785
Mailing Address6715 Paradise ParkSaranac, MI 48881-8785 · (616) 402-0756
Sole ProprietorYes
Enumeration DateMarch 13, 2014
NPI 1184040156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiologic Technologist · MammographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471M2300X
License Licensed in MI · 221859
Definition

A radiologic technologist who specializes in mammography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of mammogram imaging, exam techniques, equipment protocols, radiation safety, and patient care.

6715 PARADISE PARK, Saranac, MI 48881

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184040156, enumerated as an "individual" on March 13, 2014.

The provider is located at 6715 PARADISE PARK SARANAC, MI 48881 and the phone number is (616) 402-0756.

Radiologic Technologist with taxonomy code 2471M2300X and a focus in Mammography.