NPIMap

Organization Active NPI

Crystal Diagnostic Services

  • Specialist
  • Novi, MI
National Provider Identifier
1154627982
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CRYSTAL DIAGNOSTIC SERVICES
Practice address
39555 Orchard Hill PL
Suite 600
Novi, MI 48375-5374
Phone
(800) 998-9777
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Cory Gelmon
Title
Ceo
Phone
(800) 998-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

39555 Orchard Hill PL
Suite 600
Novi, MI 48375-5374

Mailing address

39555 Orchard Hill PL
Suite 600
Novi, MI 48375-5374

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1154627982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39555 ORCHARD HILL PL",
            "address_2": "SUITE 600",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39555 ORCHARD HILL PL",
            "address_2": "SUITE 600",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755374",
            "telephone_number": "800-998-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "GELMON",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-998-9777"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.