Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Diagnostic Medical Imaging PC

Organization Diagnostic Radiology Physician · NPI 1639438062

Advanced Diagnostic Medical Imaging PC is a Diagnostic Radiology Physician in Grosse Ile, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19891 Parke Ln
Grosse Ile, MI 48138-1027
Phone: (734) 671-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 5101011021 (MI)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 5101011021 (MI)

Record details

NPI number1639438062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allie Galovich — Biller · (248) 593-9780
NPI enumeratedMay 4, 2012
Last updated in NPPESMarch 1, 2013
Mailing address19891 Parke Ln, Grosse Ile, MI 48138-1027