Phenomics Health Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHENOMICS HEALTH INC

Practice address

46701 Commerce Center Dr
Plymouth, MI 48170-2475

Phone

(734) 233-3070

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

James Burns

Title

Owner

Phone

(734) 233-3070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1124603071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46701 COMMERCE CENTER DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46701 COMMERCE CENTER DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702475",
            "telephone_number": "734-233-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMICS HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-233-3070"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madalyn Petty
• Anne Phair
• Charles Van Pham
• Mark Phelps, M.A., L.M.F.T.
• Misty Phenix
• Philip J. Mayer, M.D. & Consultants,P.L.L.C.
• Lanique Phillip
• Kirsten Phillips
• Dennis M Picard, OD
• Deja Pickett

• Clinical Medical Laboratory in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.