{"npi":"1467435941","type":"NPI-2","status":"active","name":{"display":"Superior Imaging Specialists, PC","other":[],"organization_name":"SUPERIOR IMAGING SPECIALISTS, PC","authorised_official":"Christopher Mehall"},"specialty":{"primary_taxonomy":"2085R0204X","primary_taxonomy_description":"Vascular & Interventional Radiology Physician","slug":"vascular-interventional-radiology-physician","schema_org_specialty":null,"all":[{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":true,"state":"MI","license":"4301052676"}]},"addresses":[{"purpose":"LOCATION","street_1":"580 W COLLEGE AVE","city":"MARQUETTE","state":"MI","postal_code":"498552705","country_code":"US","phone":"9062257808","fax":"9062257818"},{"purpose":"MAILING","street_1":"2837 US 41 WEST","city":"MARQUETTE","state":"MI","postal_code":"498552675","country_code":"US","phone":"9062253964","fax":"9062263875"}],"license":{"state":"MI","number":"4301052676"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"104968541","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"310E210240","state":"MI","issuer":"BLUE CROSS BLUE SHIELD OF MICHIGAN"},{"type_code":"05","label":"Medicaid","value":"104352558","state":"MI","issuer":null},{"type_code":"05","label":"Medicaid","value":"104968532","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040304001046","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"9638067473"}]},"enumeration_date":"2005-11-29","last_updated":"2009-05-29","_meta":{"source":"NPPES","snapshot_date":"2009-05-29","doc_url":"https://findmynpi.com/api"}}