NPIMap

Organization Active NPI

Dr L Reynolds Associates, PC

  • Specialist
  • Detroit, MI
National Provider Identifier
1205912565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DR L REYNOLDS ASSOCIATES, PC
Practice address
3990 John R St
Detroit, MI 48201-2018
Phone
(248) 353-1280
Fax
(248) 353-6193
NPI assigned
Oct 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tom Brusseau
Title
Manager
Phone
(248) 353-1280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

3990 John R St
Detroit, MI 48201-2018

Mailing address

24500 Northwestern Hwy
Southfield, MI 48075-2414
Phone (248) 353-1280

Other names 1

  • REYNOLDS, L & ASSOC PC Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr L Reynolds Associates PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205912565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752414",
            "telephone_number": "248-353-1280",
            "fax_number": "248-353-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "248-353-1280",
            "fax_number": "248-353-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR L REYNOLDS ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUSSEAU",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-353-1280"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REYNOLDS, L & ASSOC PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.