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

Great Lakes Radiology Services

Organization Diagnostic Radiology Physician · NPI 1891529111

Great Lakes Radiology Services is a Diagnostic Radiology Physician in Plymouth, Michigan. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

729 W Ann Arbor Trl Ste 2
Plymouth, MI 48170-6225
Phone: (734) 673-3764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4501 Bruce B Downs Blvd, Wesley Chapel, FL 33544-9216 — (813) 914-1000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1891529111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Madison — Organizer · (734) 673-3764
NPI enumeratedAugust 28, 2024
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address729 W Ann Arbor Trl Ste 2, Plymouth, MI 48170-6225

Other providers in Plymouth