Active NPI
Haidar Ouza
- Clinical Medical Laboratory
- Dearborn, MI
National Provider Identifier
1184041758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 23D2063832
- Practice address
- 13530 Michigan Ave
Suite 240
Dearborn, MI 48126-3574 - Phone
- (313) 999-6669
- Fax
- (313) 451-8434
- NPI assigned
- Mar 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 23D2063832 | MI | Primary |
Addresses
Primary practice location
13530 Michigan Ave
Suite 240
Dearborn, MI 48126-3574
Mailing address
13530 Michigan Ave
Suite 240
Dearborn, MI 48126-3574
Phone (313) 999-6669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23D2063832 | MI | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Medical Laboratory LLC | Clinical Medical Laboratory | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Sylvania, OH
- NPI 1548682917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1184041758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13530 MICHIGAN AVE",
"address_2": "SUITE 240",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263574",
"telephone_number": "313-999-6669",
"fax_number": "313-451-8434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13530 MICHIGAN AVE",
"address_2": "SUITE 240",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263574",
"telephone_number": "313-999-6669",
"fax_number": "313-451-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUZA",
"first_name": "HAIDAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-21",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MI",
"license": "23D2063832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.