PREMIER IMAGING GROUP, LLC — NPI 1306614243 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound in FARWELL, MI)

CMS-1500 Box 24J / 33a • NPI

1306614243

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2085U0001X (CMS 30)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound

Box 32 Service Location & ZIP+4

6070 GRANT RD, FARWELL, MI, 48622-9554

✓ 9-Digit EDI 837 ZIP+4 (48622-9554)

Practice Phone & Referral Fax

(517) 231-2479

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306614243 (PREMIER IMAGING GROUP, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1306614243` (NPI-2 Organization / Facility)
Provider / Legal Name	PREMIER IMAGING GROUP, LLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound NUCC Code: `2085U0001X` (Radiology, Diagnostic Ultrasound)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6070 GRANT RD, FARWELL, MI, 48622-9554
Practice Telephone / Fax	Tel: (517) 231-2479
Administrative Mailing Address	6070 GRANT RD, FARWELL, MI, 48622-9554
Enumeration & Last Sync	Enumerated: 2023-12-19 \| CMS Record Updated: 2023-12-19
Authorized Official	JASON WENTWORTH (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6070 GRANT RD, FARWELL, MI, 48622-9554

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Plain-English Taxonomy & CMS Crosswalk (2085U0001X)

What Does Taxonomy Code 2085U0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085U0001X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 30 (Physician/Diagnostic Radiology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiology, Diagnostic Ultrasound for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PREMIER IMAGING GROUP, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2085U0001X` — Radiology, Diagnostic Ultrasound Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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PREMIER IMAGING GROUP, LLC (NPI #1306614243)