Eastside Diagnostics LLC
NPI #1225640329 in Roseville, Michigan
Provider Information
- NPI Number
- 1225640329
- Entity Type
- Organization
- Organization Name
- Eastside Diagnostics LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MAXIM L.L.C.
- Primary Specialty
- Clinic/Center - Radiology, Mobile
- Enumeration Date
- Aug 19, 2020
- Last Updated
- Aug 19, 2020
Practice Location
Authorized Official
- Name
- JENNIFER WATSON, NP-C
- Title
- ADMINISTRATOR
- Phone
- (248) 709-7072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mobile — Radiology, Mobile |
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