Dally Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DALLY DIAGNOSTICS INC

Practice address

4245 S Beech Daly St Ste 201
Dearborn Heights, MI 48125-1576

Phone

(888) 650-5855

NPI assigned

Jun 27, 2025

Last updated

Jun 22, 2026By 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

Damaruka Sai Seetha Ram Chimma

Title

Owner

Phone

(757) 235-4340

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

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1073401956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 S BEECH DALY ST STE 201",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251576",
            "telephone_number": "888-650-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 S BEECH DALY ST STE 201",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251576",
            "telephone_number": "888-650-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLY DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "CHIMMA",
        "authorized_official_first_name": "DAMARUKA SAI SEETHA RAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-235-4340"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Custom Script LLC
• Olivia Czajkowski
• Franco D'Alfonso, RN
• Lara Dabajeh, DPT
• Ysen Dalipi
• Danielle F Daniel, M.D.
• Rawan Wael Darouiche, LMSW-C
• Rabih Darwiche
• David L. Cooley D.O. P.C.
• Ryan Brooks Dawson, PHARMACIST INTERN

• Clinical Medical Laboratory in Dearborn Heights, MI
• Providers in Dearborn Heights, 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 Jun 22, 2026; 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.