North Oakland Gastroenterology Clinic PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NORTH OAKLAND GASTROENTEROLOGY CLINIC PC

Doing business as

Premier Pathology

Practice address

75 Barclay Cir
Suite 210
Rochester Hills, MI 48307-5820

Phone

(248) 844-2700

Fax

(248) 852-0806

NPI assigned

Apr 15, 2010

Last updated

Apr 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Justine B Corday

Title

Laboratory General Manager

Phone

(312) 329-1884

Specialties & licenses 1

Addresses

Other names 1

• Premier Pathology Doing business as

Tax ID family

North Oakland Gastro CLN PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• North Oakland Gastroenterology Clinic PC

  dba Premier Pathology (DBA)

  • Specialist
  • Rochester Hills, MI
  • NPI 1376764019
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• North Oakland Gastroenterology Clinic PC

  dba Premier Pathology (DBA)

  • Specialist
  • Rochester Hills, MI
  • NPI 1376764019
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kambiz Bral, MD

  • Gastroenterology Physician
  • Rochester Hills, MI
  • NPI 1568452928
  NPD (past)

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1215253216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "SUITE 210",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075820",
            "telephone_number": "248-844-2700",
            "fax_number": "248-852-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "SUITE 210",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075820",
            "telephone_number": "248-844-2700",
            "fax_number": "248-852-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAKLAND GASTROENTEROLOGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "CORDAY",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LABORATORY GENERAL MANAGER",
        "authorized_official_telephone_number": "312-329-1884",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian Leigh Nixon
• Noble Care Dental Group PC
• Sa'Vaughn Noble, MA, LLC
• Normandy Optical Rochester PLLC
• North Oakland Dermatology PC
• North Oakland Gastroenterology Clinic PC (Premier Pathology (DBA))
• North Oakland Speech Services, LLC
• North Point Pioneer, Inc. (Pioneer Counseling Centers)
• Northeast Pediatric Associates, P.C.
• Novacare Outpatient Rehabilitation East, Inc. (Novacare Rehabilitation)

• Clinical Medical Laboratory in Rochester Hills, MI
• Providers in Rochester Hills, 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 Apr 15, 2010; 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.