Grand Traverse Radiologists PC
NPI 1760404891ActiveOrganization· Radiology, Diagnostic Radiology· Traverse City, MI
Radiology, Diagnostic Radiology in Traverse City, Michigan, registered in NPPES in July 2006. The authorized official on file is Michelle M. Lung, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1760404891 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2006 |
| Last updated in NPPES | Apr 29, 2020 |
| Certified by provider | Apr 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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