GENESIS MD DIAGNOSTIC IMAGING PC
NPI 1336704311
Clinic/Center - Radiology, Mobile in Dearborn Heights, MI

NPI Status: Active since May 06, 2019

Contact Information

8560 N SILVERY LN STE 101
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (313) 581-3255
Fax: (313) 581-3755

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  • Organization
  • Clinic/Center
  • Radiology, Mobile
  • Accepts Insurance

About GENESIS MD DIAGNOSTIC IMAGING PC

This page provides the complete NPI Profile along with additional information for Genesis Md Diagnostic Imaging Pc, a provider established in Dearborn Heights, Michigan operating as a Clinic/center, focusing in radiology, mobile . The healthcare provider is registered in the NPI registry with number 1336704311 assigned on May 2019. The practitioner's primary taxonomy code is 261QR0208X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Edrick Ferguson M.d. (Owner)

NPI
1336704311
Provider Name
GENESIS MD DIAGNOSTIC IMAGING PC
Entity Type
Organization
Location Address
8560 N SILVERY LN STE 101 DEARBORN HEIGHTS, MI 48127
Location Phone
(313) 581-3255
Location Fax
(313) 581-3755
Mailing Address
8560 N SILVERY LN STE 101 DEARBORN HEIGHTS, MI 48127
Mailing Phone
(313) 581-3255
Mailing Fax
(313) 581-3755
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2019
Last Update Date
05-06-2019
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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

Clinic/Center Radiology, Mobile

Taxonomy Code
261QR0208X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • 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 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
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Bronson Healthcare Partners - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Bronson Healthcare Partners - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. EDRICK FERGUSON M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(313) 581-3255

Reviews for GENESIS MD DIAGNOSTIC IMAGING PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336704311
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366140832
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 0 + 8 + 3 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1336704311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

GENESIS HEALTHCARE

Radiology

(Diagnostic Radiology)

8560 N SILVERY LN STE 101
DEARBORN HEIGHTS, MI
ZIP 48127

(313) 636-2290

GENESIS MD, PLLC

Pain Medicine

(Interventional Pain Medicine)

8560 N SILVERY LN STE 101
DEARBORN HEIGHTS, MI
ZIP 48127

(313) 581-3255

SPECTRUM MEDICAL, PLLC

Clinic/Center

(Medical Specialty)

8560 N SILVERY LN STE 101
DEARBORN HEIGHTS, MI
ZIP 48127

(313) 334-3388

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336704311, enumerated as an "organization" on May 06, 2019.

The provider is located at 8560 N SILVERY LN STE 101 DEARBORN HEIGHTS, MI 48127 and the phone number is (313) 581-3255.

Clinic/Center with taxonomy code 261QR0208X and a focus in Radiology, Mobile.

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to verify.