Olive Biosciences Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OLIVE BIOSCIENCES INC.

Practice address

150 Livernois St
Ferndale, MI 48220-2302

Phone

(248) 733-3550

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Carol Chang

Title

Cfo / Lab Operations

Phone

(248) 733-3550

Specialties & licenses 1

Addresses

Other names 1

• Olive Labs Inc. Doing business as

Locations

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1184245219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LIVERNOIS ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202302",
            "telephone_number": "248-733-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LIVERNOIS ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202302",
            "telephone_number": "248-733-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BIOSCIENCES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CFO / LAB OPERATIONS",
        "authorized_official_telephone_number": "248-733-3550"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Labs Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olive Labs Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Ferndale, MI
• Providers in Ferndale, 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 Mar 25, 2021; 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.