Paragon Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PARAGON DIAGNOSTICS

Practice address

16100 19 Mile Rd Ste 200
Clinton Township, MI 48038-1148

Phone

(586) 286-0000

NPI assigned

Jan 18, 2018

Last updated

Jan 18, 2018By 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

Nicole Spencer, BSN RN

Title

Clinical Manager

Phone

(586) 286-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1215445721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 19 MILE RD STE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 19 MILE RD STE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381148",
            "telephone_number": "586-286-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "586-286-0000",
        "authorized_official_credential": "BSN RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Pandori
• Shannon McDermott Panetta, PHD LLP
• Susha Thomas Panicker, PMHNP-BC, FNP-BC
• Andrew C Pankiewicz, BEHAVIOR TECHNICIAN
• Jennifer Ann Pantaleo Hagle
• Caroline Margaret Parent
• Tushar S Parikh, M.D.
• Jennifer Parises, MSW
• Loretta Parish, LPN
• Chankee Park, M.D.

• Clinical Medical Laboratory in Clinton Township, MI
• Providers in Clinton Township, 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 Jan 18, 2018; 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.