Organization Active NPI

Mysig LLC

  • Clinical Medical Laboratory
  • Clinton Township, MI
National Provider Identifier
1104435957
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MYSIG LLC
Practice address
43171 Dalcoma Dr Ste 2
Clinton Township, MI 48038-6307
Phone
(313) 747-0777
NPI assigned
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Mr. Marcus Elali
Title
Managing Partner
Phone
(313) 747-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

43171 Dalcoma Dr Ste 2
Clinton Township, MI 48038-6307

Mailing address

43171 Dalcoma Dr Ste 2
Clinton Township, MI 48038-6307

National Provider Directory

National Provider Directory

Locations

43171 Dalcoma Dr
Ste 2
Clinton Twp, MI 48038
Phone (248) 818-2405

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1104435957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR STE 2",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR STE 2",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386307",
            "telephone_number": "313-747-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSIG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "ELALI",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "313-747-0777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.