Forensic Fluids Laboratories Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D1045429 Issued in MI

Legal business name

FORENSIC FLUIDS LABORATORIES INC.

Practice address

225 Parsons St
Kalamazoo, MI 49007-3597

Phone

(269) 492-7700

Fax

(269) 492-7704

NPI assigned

Oct 4, 2008

Organization subpart

No

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

Authorized official

Name

Bridget L Lemberg

Title

Lab Director

Phone

(269) 492-7700

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": "1223078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1023269313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PARSONS ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073597",
            "telephone_number": "269-492-7700",
            "fax_number": "269-492-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PARSONS ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073597",
            "telephone_number": "269-492-7700",
            "fax_number": "269-492-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC FLUIDS LABORATORIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-04",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "LEMBERG",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "269-492-7700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1045429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Terese Ford, O.D.
• Kaley Ford
• Treasure Ford
• Yasmine Ford
• Clare Elizabeth Foreman, CCC-SLP
• Dustin M Forney, CRNA
• Lisa Wagner Forrest, MD
• Autumn Marie Forster
• Andrew Forsyth, M.D.
• Jenna Fort

• Clinical Medical Laboratory in Kalamazoo, MI
• Providers in Kalamazoo, 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 Jul 22, 2010; 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.