Spartan Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SPARTAN DIAGNOSTICS LLC

Practice address

30600 Telegraph Rd Ste 1375a
Bingham Farms, MI 48025-4530

Phone

(313) 900-5948

Fax

(888) 893-8920

NPI assigned

Feb 21, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Dorian Blake-Lee Wright

Title

Cfo

Phone

(734) 368-2686

Specialties & licenses 1

Addresses

Other names 1

• Spartan MDX Doing business as

Locations

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1205691920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 ANN ARBOR RD W # 545",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702129",
            "telephone_number": "734-368-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 1375A",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254530",
            "telephone_number": "313-900-5948",
            "fax_number": "888-893-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAN DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DORIAN",
        "authorized_official_middle_name": "BLAKE-LEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "734-368-2686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spartan MDX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Sovis
• Patricia A Sovor
• Amanda Lynn Sowa, BS OF PSYCHOLOGY
• Chelsea Marie Sparkman
• Summer Grace Sparks
• Sarah Rose Speaks, M.ED., BCBA, LBA
• Brittany Renee Spear
• Latena Antionette Speeks
• Clarissa Vera Spencer
• Spine Specialist of Michigan PC

• 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 Feb 21, 2024; 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.