Diagnostic Hematology, PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DIAGNOSTIC HEMATOLOGY, PC

Practice address

24725 W. Twelve Mile Road
Suite 118
Southfield, MI 48034

Phone

(248) 450-3179

Fax

(248) 327-6030

NPI assigned

Nov 2, 2017

Last updated

Jan 10, 2018By 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

Moe Badreddine, ASCP

Title

Adminstration

Phone

(248) 450-3179

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ali Gabali, MD PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Detroit, MI
  • NPI 1164626370
  NPD (past)

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1063924819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24725 W. TWELVE MILE ROAD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-450-3179",
            "fax_number": "248-327-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24725 W. TWELVE MILE ROAD",
            "address_2": "SUITE 118",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-450-3179",
            "fax_number": "248-327-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC HEMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "BADREDDINE",
        "authorized_official_first_name": "MOE",
        "authorized_official_title_or_position": "ADMINSTRATION",
        "authorized_official_telephone_number": "248-450-3179",
        "authorized_official_credential": "ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manish Dhekar, PT
• Dhia Louis Yousif MD
• Arvinder Singh Dhillon, M.D.
• Manmeet Dhillon
• Diagnostic Chiropractic II PC
• Diagnostic Laboratory Services, LLC
• Angela Denise Diallo, MA LPC
• Diamond Elite Care Solutions, LLC
• Diamond Health Management & Staffing Corp
• Diamond Home Health Services, Inc

• Clinical Medical Laboratory in Southfield, MI
• Providers in Southfield, 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 Jan 10, 2018; 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.