Organization Active NPI

Care Diagnostic, LLC

  • Clinical Medical Laboratory
  • Dearborn, MI
National Provider Identifier
1104421544
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Feb 23, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.