Immune & Diagnostic Laboratory Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IMMUNE & DIAGNOSTIC LABORATORY INC.

Practice address

31700 W 12 Mile Rd
Ste 220
Farmington Hills, MI 48334-4424

Phone

(248) 848-9000

Fax

(248) 489-0058

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mohamed B Salkini

Title

President

Phone

(248) 848-9000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083770366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31700 W 12 MILE RD",
            "address_2": "STE 220",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344424",
            "telephone_number": "248-848-9000",
            "fax_number": "248-489-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 W 12 MILE RD",
            "address_2": "STE 220",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344424",
            "telephone_number": "248-848-9000",
            "fax_number": "248-489-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNE & DIAGNOSTIC LABORATORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALKINI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-848-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2020; 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.