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

St John Hospital and Medical Center

Organization Diagnostic Neuroimaging (Radiology) Physician · NPI 1750546446

St John Hospital and Medical Center is a Diagnostic Neuroimaging (Radiology) Physician in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
Specialties on file
13

Practice location Address checks out

20225 E 9 Mile Rd
Saint Clair Shores, MI 48080-1775
Phone: (586) 775-4711
Fax: (586) 775-4050
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X (MI)
Diagnostic Neuroimaging (Radiology) Physician Taxonomy 2085D0003X (MI)
Neuroradiology Physician Taxonomy 2085N0700X (MI)
Nuclear Radiology Physician Taxonomy 2085N0904X (MI)
Pediatric Radiology Physician Taxonomy 2085P0229X (MI)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X (MI)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X (MI)
Bone Densitometry Radiologic Technologist Taxonomy 2471B0102X (MI)
Radiography Radiologic Technologist Taxonomy 2471C3402X (MI)
Mammography Radiologic Technologist Taxonomy 2471M2300X (MI)
Nuclear Medicine Technology Radiologic Technologist Taxonomy 2471N0900X (MI)
Sonography Radiologic Technologist Taxonomy 2471S1302X (MI)
Vascular Sonography Radiologic Technologist Taxonomy 2471V0105X (MI)

Record details

NPI number1750546446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Johnson — Director · (877) 996-9975
Other names Shores Diagnostic Center
NPI enumeratedJuly 23, 2008
Last updated in NPPESJanuary 27, 2011
Mailing addressPo Box 67000, Department 184101, Detroit, MI 48267-0002