Provider Demographics
NPI:1043807274
Name:FOCUS DIAGNOSTICS
Entity type:Organization
Organization Name:FOCUS DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSUBOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-633-4444
Mailing Address - Street 1:27215 SOUTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-3406
Mailing Address - Country:US
Mailing Address - Phone:248-480-8888
Mailing Address - Fax:248-450-5577
Practice Address - Street 1:27215 SOUTHFIELD RD
Practice Address - Street 2:
Practice Address - City:LATHRUP VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48076-3406
Practice Address - Country:US
Practice Address - Phone:248-480-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)