Metabolic Medicine Lab PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

METABOLIC MEDICINE LAB PLLC

Practice address

21444 Harper Ave
Saint Clair Shores, MI 48080-2244

Phone

(586) 275-7796

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sean Cassleman, DONPI 1720404775

Title

Owner

Phone

(313) 598-0799

Specialties & licenses 1

Addresses

Other names 1

• Mission Metabolic Health Doing business as

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.

• Sean Anthony Cassleman, DO

  • Internal Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1720404775
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1043048911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 BISHOP RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301447",
            "telephone_number": "313-598-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21444 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802244",
            "telephone_number": "586-275-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METABOLIC MEDICINE LAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "CASSLEMAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-598-0799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Metabolic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose A Mercado-Francis, MD
• Kimberly Merkle
• Demetrios Mermiges, M.D.
• Jamie Megan Merrick, OTRL
• Maria Vicenta Merritt, LMSW, ACSW
• Metro Detroit Kidney Associates
• Metro Health Care Center P.C.
• Rouba Metwele
• Paul Allan Meyering, D.D.S.
• Thomas Meyering, DDS

• Medical Specialty Clinic/Center in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.