Organization Active NPI

Prime Toxicology, LLC

  • Clinical Medical Laboratory
  • Southfield, MI
National Provider Identifier
1104365626
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRIME TOXICOLOGY, LLC
Practice address
28266 Franklin Rd Ste B
Southfield, MI 48034-1659
Phone
(800) 901-9077
Fax
(800) 980-4077
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Mrs. Mahnaz Jaffry
Title
Member
Phone
(800) 901-9077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

28266 Franklin Rd Ste B
Southfield, MI 48034-1659

Mailing address

28266 Franklin Rd Ste B
Southfield, MI 48034-1659
Phone (800) 901-9077

National Provider Directory

National Provider Directory

Locations

28266 Franklin Rd
Ste B
Southfield, MI 48034
Phone (800) 901-9077

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1104365626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28266 FRANKLIN RD STE B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341659",
            "telephone_number": "800-901-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28266 FRANKLIN RD STE B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341659",
            "telephone_number": "800-901-9077",
            "fax_number": "800-980-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME TOXICOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "JAFFRY",
        "authorized_official_first_name": "MAHNAZ",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "800-901-9077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.