NPI Portal NPI Lookup & Verification

Eastside Diagnostics LLC

Eastside Diagnostics LLC is a healthcare organization registered as Mobile Radiology Clinic/Center in Roseville, MI, holding Type 2 (organization) NPI 1225640329 since 2020. The authorized official on file is Jennifer Watson, Administrator.

✓ Active NPI ✓ Valid NPI checksum Organization subpart

NPI 1225640329
Entity type Organization (Type 2)
Legal business name Eastside Diagnostics LLC
Parent organization Maxim L.L.C.
Practice address 25100 KELLY RD STE B, Roseville, MI, 48066
Phone 2482627379
Enumeration date 2020-08-19
Last updated in NPPES 2020-08-19

Authorized official

Name Jennifer Watson
Title Administrator
Phone 2487097072

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QR0208X Mobile Radiology Clinic/Center Primary
Copy-ready billing details
Provider: Eastside Diagnostics LLC
NPI: 1225640329
Taxonomy: 261QR0208X (Mobile Radiology Clinic/Center)
Address: 25100 KELLY RD STE B, Roseville, MI, 48066

Providers at this address

NPI Name Type Specialty Location
1760117162 Hannah Sheppard Individual Family Nurse Practitioner Roseville, MI

Verify this record

Cross-check NPI 1225640329 against the authoritative CMS record: view Eastside Diagnostics LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-19. Verify at npiregistry.cms.hhs.gov.
Where is Eastside Diagnostics LLC located?
The practice location on file with NPPES is in Roseville, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-19.