Clinical Connect Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLINICAL CONNECT LABORATORIES, LLC

Practice address

30675 Stephenson Hwy Ste L1
Madison Heights, MI 48071-1635

Phone

(888) 392-6042

Fax

(888) 392-6043

NPI assigned

Sep 27, 2016

Organization subpart

No

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

Authorized official

Name

Yisroel Sigler

Title

Manager

Phone

(888) 392-6042

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1013466432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30675 STEPHENSON HWY STE L1",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711635",
            "telephone_number": "888-392-6042",
            "fax_number": "888-392-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30675 STEPHENSON HWY STE L1",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711635",
            "telephone_number": "888-392-6042",
            "fax_number": "888-392-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CONNECT LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "SIGLER",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-392-6042"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasmi Chowdhury
• Christopher B. Najarian, D.O., P.C.
• Simone Cialek
• Santino Ciavatta
• City of Madison Heights
• Eliette Rose Clute
• Matthew Bryan Cohen, DC
• Cicely Coker
• Lindsey Carlisa Coleman, STUDENT AND EMPLOYEE
• Jennifer Lynne Collier, MA, BCBA, LBA

• Clinical Medical Laboratory in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.