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

William Beaumont Hospital

Organization Diagnostic Radiology Physician · NPI 1073650701

William Beaumont Hospital provides Diagnostic Radiology Physician services in Troy, Michigan. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 423-2454
Fax: (248) 423-2576
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1073650701
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWilliam Beaumont Hospital
Authorized official Lee Odom — President Shared Services · (947) 522-3326
Other names Beaumont Professional Services; Beaumont Professional Services
NPI enumeratedJanuary 31, 2007
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing address26901 Beaumont Blved, Compliance, Southfield, MI 48033-3849

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