Organization Active NPI

Redwood Laboratory Inc

  • Clinical Medical Laboratory
  • Dearborn, MI
National Provider Identifier
1124502752
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REDWOOD LABORATORY INC
Practice address
4700 Greenfield Rd # Lab
Dearborn, MI 48126-4124
Phone
(313) 722-4149
NPI assigned
Sep 19, 2018
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Talat Iqbal
Title
Director
Phone
(313) 722-4149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4700 Greenfield Rd # Lab
Dearborn, MI 48126-4124

Mailing address

4700 Greenfield Rd # Lab
Dearborn, MI 48126-4124

National Provider Directory

National Provider Directory

Locations

4700 Greenfield Rd
Ste Lab
Dearborn, MI 48126
Phone (313) 722-4149

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1124502752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD # LAB",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD # LAB",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124",
            "telephone_number": "313-722-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "TALAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-722-4149"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 7, 2024; 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.