GREAT LAKES PORTABLE DIAGNOSTICS
NPI 1750536454
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Warren, MI

Q: What is the provider's specialty?

The provider's specialty is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

Active since November 21, 2008

28800 RYAN RD, SUITE 300, WARREN, MI 48092(586) 573-6400(586) 573-1918 Get Directions Write a Review

NPPES record last updated: November 21, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Great Lakes Portable Diagnostics NPPES

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

GREAT LAKES PORTABLE DIAGNOSTICS (NPI 1750536454) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Warren, Michigan and active in the NPI registry since November 2008. The organization lists Paul Petre, President, as its authorized official.

NPPES Registry Identity

NPI1750536454

Entity TypeOrganization

Primary Taxonomy335V00000X

Legal Business NamePAUL PETRE MD PC

Location Address28800 RYAN RD, SUITE 300Warren, MI 48092-4272

Mailing Address30781 Stephenson HwyMadison Hts, MI 48071-1618 · (248) 284-2316 · Fax (248) 583-8969

Phone(586) 573-6400

Fax(586) 573-1918

Organization SubpartYes

Authorized OfficialPaul PetrePresident · (586) 573-6400

Enumeration DateNovember 21, 2008

✔ NPI 1750536454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers

Taxonomy Code335V00000X

Definition

A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

28800 RYAN RD, Warren, MI 48092

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