Heritage Labs, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HERITAGE LABS, INC.

Doing business as

Ion Diagnostics Laboratories

Practice address

30600 Telegraph Rd Ste 1375
Bingham Farms, MI 48025-4589

Phone

(248) 720-4080

Fax

(877) 466-6399

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Nameer Kiminaia

Title

Coo

Phone

(616) 327-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ion Diagnostics Laboratories Doing business as

Tax ID family

Heritage Labs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heritage Labs, Inc.

  dba ION Diagnostics Laboratories

  • Clinical Medical Laboratory
  • Bingham Farms, MI
  • NPI 1790274678
  NPD tax ID

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1154197374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 1375",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254589",
            "telephone_number": "248-535-8088",
            "fax_number": "877-466-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 1375",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254589",
            "telephone_number": "248-720-4080",
            "fax_number": "877-466-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE LABS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "KIMINAIA",
        "authorized_official_first_name": "NAMEER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "616-327-7800"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA IDENTIFICATION NUMBER",
            "identifier": "23D2250013",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ion Diagnostics Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ion Diagnostics Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Nicole Henderson
• Holly Michelle Henry
• Marnise Renee Henry
• Shelby Lynn Hensley
• Emily Herbon, RD
• Heritage Labs, Inc. (ION Diagnostics Laboratories)
• Raquel Hernandez-Snyder
• Kassandra Hernandez
• Heron Ridge Associates PLC
• Heron Ridge Associates, PLC

• Clinical Medical Laboratory in Bingham Farms, MI
• Providers in Bingham Farms, 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 Dec 7, 2023; 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.