Organization Active NPI

VKTR Labs LLC

  • Clinical Medical Laboratory
  • Detroit, MI
National Provider Identifier
1003779315
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VKTR LABS LLC
Practice address
10241 Joy Rd
Detroit, MI 48204-3004
Phone
(248) 914-1681
NPI assigned
Dec 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Benjamin John Hollaway, J.D,
Title
Owner
Phone
(248) 914-1681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10241 Joy Rd
Detroit, MI 48204-3004

Mailing address

17663 W 10 Mile Rd
Southfield, MI 48075-2756
Phone (248) 914-1681

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2335273VKTR Labs LLC10241 Joy Road, Detroit, MI 48204RegistrationDec 8, 2027

National Provider Directory

National Provider Directory

Locations

10241 Joy Rd
Detroit, MI 48204
Phone (248) 914-1681

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1003779315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17663 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752756",
            "telephone_number": "248-914-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10241 JOY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482043004",
            "telephone_number": "248-914-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VKTR LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "HOLLAWAY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-914-1681",
        "authorized_official_credential": "J.D,"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.