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

Michigan Surgery Specialists, PC

Organization Diagnostic Radiology Physician · NPI 1316939952

Michigan Surgery Specialists, PC is a Diagnostic Radiology Physician in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
Specialties on file
3
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

11012 Thirteen Mile Rd Ste 111
Warren, MI 48093
Phone: (586) 558-8470
Fax: (586) 558-8481
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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
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301046061 (MI)
Computed Tomography Radiologic Technologist Taxonomy 2471C3401X · Licence 4301046061 (MI)

Record details

NPI number1316939952
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMichigan Surgery Specialists, PC
Authorized official Michele Kudlor — Billing Manager · (586) 459-5592
Other names Life Scan Imaging Of Michigan
NPI enumeratedAugust 19, 2005
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address31201 Chicago Rd S Ste C302, Warren, MI 48093-5553

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