Catalyst Diagnostic LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CATALYST DIAGNOSTIC LLC

Practice address

30600 Telegraph Rd Ste 1395
Bingham Farms, MI 48025-4530

Phone

(517) 885-3524

Fax

(517) 940-4260

NPI assigned

May 19, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Norman Kiminaia

Title

Owner

Phone

(517) 885-3524

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hisham Ibrahim Ahmed, M.D.

  • Internal Medicine Physician
  • Lapeer, MI
  • NPI 1568486413
  NPD

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1023631595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 1395",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254530",
            "telephone_number": "517-885-3524",
            "fax_number": "517-940-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 1395",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254530",
            "telephone_number": "517-885-3524",
            "fax_number": "517-940-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "KIMINAIA",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-885-3524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassius a Deflon MD PC
• Andrew James Castaneda
• Angelina Clara Castillo
• Christina Castro
• Jessica Lynn Catalano
• Amel Catic
• Mia Cauley
• Malaka Cegers
• Arianna Melissa Cesario
• James Alan Cesaro

• Clinical Medical Laboratory in Bingham Farms, MI
• Providers in Bingham Farms, 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 Aug 13, 2024; 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.