LIFE SCAN IMAGING OF MICHIGAN
NPI 1316939952
Radiology - Diagnostic Radiology in Warren, MI
NPI Status: Active since August 19, 2005
Contact Information
11012 THIRTEEN MILE ROAD
SUITE 111
WARREN, MI
ZIP 48093
Phone: (586) 558-8470
Fax: (586) 558-8481
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- CLIA Number: 23D2287523
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-14-2027
About LIFE SCAN IMAGING OF MICHIGAN
This page provides the complete NPI Profile along with additional information for Life Scan Imaging Of Michigan, a provider established in Warren, Michigan operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1316939952 assigned on August 2005. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Life Scan Imaging Of Michigan operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Life Scan Imaging Of Michigan. The authorized official of this NPI record is Edward F. Burke D.o. (President)
- NPI
- 1316939952
- Provider Legal Name
- MICHIGAN SURGERY SPECIALISTS, P.C.
- Other Organization Name
- LIFE SCAN IMAGING OF MICHIGAN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11012 THIRTEEN MILE ROAD SUITE 111 WARREN, MI 48093
- Location Phone
- (586) 558-8470
- Location Fax
- (586) 558-8481
- Mailing Address
- P.O. BOX 674068 DETROIT, MI 48267
- Mailing Phone
- (586) 582-0864
- Mailing Fax
- (586) 558-8481
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-19-2005
- Last Update Date
- 11-17-2008
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 4301046061 (MI) |
| 2 | 2471C3401X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | 4301046061 (MI) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
- MyPriority Standard Bronze - Trinity Health East Network - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Southeast Michigan Network - HMO
- MyPriority Standard Gold Trinity Health East Network - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Southeast Michigan Network - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Standard Silver - Trinity Health East Network - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - 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.
*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 |
|---|---|---|---|
| 0E06376 | MEDICARE PIN (08) | MI | |
| 300E017160 | OTHER (01) | MI | BCBS PIN NUMBER |
| 53317 | OTHER (01) | RADIATION MACHINE REGISTR |
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
- 23D2287523
- Facility Type
- Physician Office
- Certificate Effective Date
- August 15, 2025
- Certificate Expiration Date
- August 14, 2027
- Laboratory Director
- MUHAMMAD VASIQ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Life Scan Imaging Of Michigan 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 1316939952, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
WARREN, MI 48093
WARREN, MI 48093
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316939952, enumerated as an "organization" on August 19, 2005.
The provider is located at 11012 THIRTEEN MILE ROAD SUITE 111 WARREN, MI 48093 and the phone number is (586) 558-8470.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Priority Health, Medicare, Medicaid and Blue Cross. Please consult your insurance carrier or call the provider to verify.
