Clearpath Diagnostics LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

63-C026 Issued in MI

Legal business name

CLEARPATH DIAGNOSTICS LLC

Practice address

25354 Evergreen Rd
Southfield, MI 48075-1776

Phone

(248) 402-1222

NPI assigned

Mar 25, 2013

Last updated

Dec 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Warren Ringold, M.D

Title

Manager

Phone

(248) 402-1222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1063754323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25354 EVERGREEN RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751776",
            "telephone_number": "248-402-1222",
            "fax_number": "248-809-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25354 EVERGREEN RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751776",
            "telephone_number": "248-402-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARPATH DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "RINGOLD",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-402-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "MI",
            "license": "63-C026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Southfield, MI
• Providers in Southfield, MI by specialty
• Physiological Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.