Active NPI
Bioprecision Laboratories, Inc.
- Clinical Medical Laboratory
- Farmington Hills, MI
National Provider Identifier
1104402254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BIOPRECISION LABORATORIES, INC.
- Practice address
- 30000 Orchard Lake Rd Ste C
Farmington Hills, MI 48334-2268 - Phone
- (248) 266-3000
- Fax
- (248) 266-3000
- NPI assigned
- Mar 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammad Jamal, PHD
- Title
- Co-Founder
- Phone
- (248) 266-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
30000 Orchard Lake Rd Ste C
Farmington Hills, MI 48334-2268
Mailing address
21805 Duns Scotus St
Southfield, MI 48075-3202
Phone (248) 266-3000
Other practice location 1
21805 Duns Scotus St
Southfield, MI 48075-3202
Phone (248) 750-7218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220429000479 | MI | Part B Supplier - Independent Clinical Laboratory | 4082001672 | Practice locations: Farmington Hills, MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683158400000",
"number": "1104402254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21805 DUNS SCOTUS ST",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753202",
"telephone_number": "248-266-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30000 ORCHARD LAKE RD STE C",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342268",
"telephone_number": "248-266-3000",
"fax_number": "248-266-3000"
}
],
"practiceLocations": [
{
"address_1": "21805 Duns Scotus St",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480753202",
"country_code": "US",
"telephone_number": "248-750-7218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BIOPRECISION LABORATORIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-19",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A",
"authorized_official_last_name": "JAMAL",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "CO-FOUNDER",
"authorized_official_telephone_number": "248-266-3000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.