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EASTLAND DIAGNOSTIC PC
NPI 1629119649
Clinic/Center - Radiology in Roseville, MI

Active since February 11, 2007
25710 KELLY RD, ROSEVILLE, MI 48066(586) 779-4610(586) 779-0003 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastland Diagnostic Pc NPPES

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

EASTLAND DIAGNOSTIC PC (NPI 1629119649) is a healthcare organization registered as a radiology in Roseville, Michigan and active in the NPI registry since February 2007. The organization lists Mehdi Mahmoodzadegan, President, as its authorized official.

NPPES Registry Identity

NPI1629119649
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameEASTLAND DIAGNOSTIC PC
Location Address25710 KELLY RDRoseville, MI 48066-4959
Mailing Address25710 Kelly RdRoseville, MI 48066-4959 · (586) 779-4610 · Fax (586) 779-0003
Phone(586) 779-4610
Fax(586) 779-0003
Organization SubpartNo
Authorized OfficialMehdi MahmoodzadeganPresident · (586) 779-4610
Enumeration DateFebruary 11, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1629119649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License✔ Licensed in MI · 4301032665
25710 KELLY RD, Roseville, MI 48066
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN0P49990MI
Other3005041671MI · Bluecare Network Hmo
Medicaid1376494MI

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAGRUTI PATEL
Nurse Practitioner (Adult Health)
25710 KELLY RD, SUITE 3
ROSEVILLE, MI 48066
Macomb County (586) 772-2600
J H PARK MD PC
Internal Medicine (Nephrology)
25710 KELLY RD, STE 3
ROSEVILLE, MI 48066
Macomb County (586) 772-2600
DR. BASEM ALMASRI M.D.
Internal Medicine
25710 KELLY RD, STE 3
ROSEVILLE, MI 48066
Macomb County (586) 772-2600
MR. FRANCISCO J RODRIGUEZ MD, P.C.
Surgery (Vascular Surgery)
25710 KELLY RD, SUITE 2
ROSEVILLE, MI 48066
Macomb County (586) 445-8030
JILLIAN TACIA R.D.
Dietitian, Registered
25710 KELLY RD, SUITE 3
ROSEVILLE, MI 48066
Macomb County (586) 772-2600
INNOVATION MEDICINE, PLLC
Internal Medicine
25710 KELLY RD, STE 3
ROSEVILLE, MI 48066
Macomb County (586) 772-2600
BORIVOJE TRIFUNOVIC MD
Internal Medicine
25710 KELLY RD, SUITE 3
ROSEVILLE, MI 48066
Macomb County (586) 772-2600
ADHRAA ALSANA
Nurse Practitioner (Family)
25710 KELLY RD
ROSEVILLE, MI 48066
Macomb County (586) 772-2600

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 Eastland Diagnostic PC's NPI number?

The NPI number for Eastland Diagnostic PC is 1629119649. It was assigned to this organization in the NPPES registry on February 11, 2007.

Where is Eastland Diagnostic PC located?

Eastland Diagnostic PC is located at 25710 Kelly Rd, Roseville, MI 48066. The listed phone number is (586) 779-4610.

What is Eastland Diagnostic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Eastland Diagnostic PC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.