Active NPI
VKTR Labs LLC
- Clinical Medical Laboratory
- Detroit, MI
National Provider Identifier
1003779315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2335273 | VKTR Labs LLC | Registration | Dec 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.