NPIMap

Organization Active NPI

Medical Evaluations and Testing P.C.

  • General Practice Physician
  • Southfield, MI
National Provider Identifier
1114198041
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDICAL EVALUATIONS AND TESTING P.C.
Practice address
20411 W 12 Mile Rd
Suite 103
Southfield, MI 48076-5414
Phone
(248) 354-1111
Fax
(248) 354-1114
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Mrs. Faye Chehab
Title
Management
Phone
(248) 354-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

20411 W 12 Mile Rd
Suite 103
Southfield, MI 48076-5414

Mailing address

20411 W 12 Mile Rd
Suite 103
Southfield, MI 48076-5414
Phone (248) 354-1111

National Provider Directory

National Provider Directory

Locations

20411 W 12 Mile Rd
Ste 103
Southfield, MI 48076
Phone (248) 354-1111

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1114198041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20411 W 12 MILE RD",
            "address_2": "SUITE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765414",
            "telephone_number": "248-354-1111",
            "fax_number": "248-354-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20411 W 12 MILE RD",
            "address_2": "SUITE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765414",
            "telephone_number": "248-354-1111",
            "fax_number": "248-354-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EVALUATIONS AND TESTING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "CHEHAB",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "248-354-1111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Mar 19, 2008; 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.