Phi Tec LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHI TEC LLC

Practice address

15760 19 Mile Rd
Suite F
Clinton TWP, MI 48038-6319

Phone

(586) 489-1193

Fax

(586) 416-2580

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Warren Rudowski II, PHD

Title

President Ceo

Phone

(586) 489-1193

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134278492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15760 19 MILE RD",
            "address_2": "SUITE F",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386319",
            "telephone_number": "586-489-1193",
            "fax_number": "586-416-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15760 19 MILE RD",
            "address_2": "SUITE F",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386319",
            "telephone_number": "586-489-1193",
            "fax_number": "586-416-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHI TEC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUDOWSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "586-489-1193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "R320745866906",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skye Rhanasia Pernell
• Personalize Advance Therapy Services
• Amy Leigh Perugi, LMSW
• Narmen Petros
• Neda Peyman
• Beena Sathish Philip, PA
• Wanda A Phillips
• Physical Therapy & Pain Clinic,Inc (AquatiCare P.T)
• Neil Pickoff
• Hala S Pietrangelo, LMSW

• Clinical Medical Laboratory in Clinton TWP, MI
• Providers in Clinton TWP, 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 Aug 22, 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.