Western Slope Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D1047507 Issued in MI

Legal business name

WESTERN SLOPE LABORATORY LLC

Practice address

1197 Rochester Rd
Suite K
Troy, MI 48083-6031

Phone

(248) 307-1168

Fax

(248) 307-1189

NPI assigned

Jul 6, 2009

Organization subpart

Yes

Parent organization

COVENTRY DIAGNOSTICS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas L. McCormick

Title

Owner/Ceo

Phone

(248) 307-1168

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1164651618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 ROCHESTER RD",
            "address_2": "SUITE K",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836031",
            "telephone_number": "248-307-1168",
            "fax_number": "248-307-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 ROCHESTER RD",
            "address_2": "SUITE K",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836031",
            "telephone_number": "248-307-1168",
            "fax_number": "248-307-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SLOPE LABORATORY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENTRY DIAGNOSTICS LLC",
        "enumeration_date": "2009-07-06",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "248-307-1168",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1047507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley West, PA-C
• Jennifer Y West, MA, TLLP
• Julie West, RN
• Brianna Westbrook
• Bernard G. Westbury, PA
• Brad Wetoszke
• Sarah K. Wettlaufer, PA
• Sherry Ilyse Wexler, L.M.S.W.
• David Patrick Whalen, DDS
• Karen Condon Wheeler, M.D.

• Clinical Medical Laboratory in Troy, MI
• Providers in Troy, 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 Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.