Active NPI
Care Diagnostic, LLC
- Clinical Medical Laboratory
- Dearborn, MI
National Provider Identifier
1104421544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CARE DIAGNOSTIC, LLC
- Practice address
- 19855 Outer Dr Ste 101
Dearborn, MI 48124-2022 - Phone
- (313) 789-8534
- NPI assigned
- Dec 3, 2020
- 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
- Sahar Farhat
- Title
- Manager
- Phone
- (313) 789-8534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
19855 Outer Dr Ste 101
Dearborn, MI 48124-2022
Mailing address
19855 Outer Dr Ste 101
Dearborn, MI 48124-2022
Phone (313) 789-8534
Other names 1
- Noor Diagnostics
National Provider Directory
National Provider DirectoryLocations
19855 Outer Dr
Ste 101
Dearborn, MI 48124
Phone (313) 789-8534
19855 Outer Dr
Ste 101BW
Dearborn, MI 48124
Phone (313) 790-8315
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1962683722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614038400000",
"number": "1104421544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19855 OUTER DR STE 101",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242022",
"telephone_number": "313-789-8534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19855 OUTER DR STE 101",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242022",
"telephone_number": "313-789-8534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE DIAGNOSTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-03",
"last_updated": "2021-02-23",
"certification_date": "2021-01-20",
"status": "A",
"authorized_official_last_name": "FARHAT",
"authorized_official_first_name": "SAHAR",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "313-789-8534"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Noor Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.