Detroit Bio Medical Labs Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

002174 Issued in MI

Legal business name

DETROIT BIO MEDICAL LABS INC

Practice address

23955 Freeway Park Dr
Farmington Hills, MI 48335-2817

Phone

(248) 471-4111

Fax

(248) 471-2340

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Raymond P Zakaria, M.S.

Title

Manager

Phone

(248) 471-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Gloria Renee Lafollette, RN, DNP, FNP-C

  • Family Nurse Practitioner
  • Fairfield, IA
  • NPI 1265960884
  NPD (past)
• Amanda Sweet, PA-C

  • Physician Assistant
  • Jacksonville, NC
  • NPI 1861882508
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1043377500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23955 FREEWAY PARK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352817",
            "telephone_number": "248-471-4111",
            "fax_number": "248-471-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23955 FREEWAY PARK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352817",
            "telephone_number": "248-471-4111",
            "fax_number": "248-471-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT BIO MEDICAL LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ZAKARIA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-471-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "002174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161080516",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Medical and Janitorial Supplies Inc.
• Mackenzie Rae Deters, DO
• Skyler Detrana
• Samara Detrick
• Detroit Baptist Manor
• Detroit Infant Health
• Detroit Medical Center
• Detroit Speech Therapy
• Shannon Dettor
• Sarah A Dettore

• Clinical Medical Laboratory in Farmington Hills, MI
• Providers in Farmington Hills, 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 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.