EASTSIDE DIAGNOSTICS LLC
NPI 1225640329
Clinic/Center - Radiology, Mobile in Roseville, MI
About Eastside Diagnostics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTSIDE DIAGNOSTICS LLC (NPI 1225640329), doing business as Maxim Mri, is a healthcare organization registered as a radiology, mobile in Roseville, Michigan and active in the NPI registry since August 2020. The organization lists Jennifer Watson, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eastside Diagnostics LLC's NPI number?
The NPI number for Eastside Diagnostics LLC is 1225640329. It was assigned to this organization in the NPPES registry on August 19, 2020. The provider is doing business as Maxim MRI.
Where is Eastside Diagnostics LLC located?
Eastside Diagnostics LLC is located at 25100 Kelly Rd Ste B, Roseville, MI 48066. The listed phone number is (248) 262-7379.
What is Eastside Diagnostics LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.
When was this NPI record last updated?
The NPPES record for Eastside Diagnostics LLC was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eastside Diagnostics Llc · NPI 1225640329
Radiology, Mobile organization in Roseville, Michigan. Organization record, active in the CMS NPPES registry since August 19, 2020.
## Identity
- **NPI:** 1225640329 (Entity type: Organization)
- **Enumerated:** August 19, 2020
- **Primary specialty:** Clinic/Center - Radiology, Mobile · taxonomy 261QR0208X
- **Also known as:** Maxim MRI (Doing Business As)
- **Organization subpart:** Yes (part of Maxim L.l.c.)
- **Authorized official:** Jennifer Watson, ADMINISTRATOR
## Practice location
- **Address:** 25100 KELLY RD STE B, Roseville, MI 48066-4910
- **Phone:** (248) 262-7379
## Record status
- **NPPES last updated:** August 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1225640329) · Data from the CMS NPPES public registry.