Active NPI
Clinical Research Institute of Michigan, LLC
- Clinical Pathology/Laboratory Medicine Physician
- Chesterfield, MI
National Provider Identifier
1215654660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- Legal business name
- CLINICAL RESEARCH INSTITUTE OF MICHIGAN, LLC
- Practice address
- 30795 23 Mile Rd
Ste 206
Chesterfield, MI 48047-5721 - Phone
- (586) 598-3329
- Fax
- (586) 948-1386
- NPI assigned
- Oct 26, 2022
- Last updated
- Oct 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald P Fogel, MD
- Title
- Partner/Owner
- Phone
- (586) 598-3329
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | NU | Primary |
Addresses
Primary practice location
30795 23 Mile Rd
Ste 206
Chesterfield, MI 48047-5721
Mailing address
30795 23 Mile Rd
Ste 206
Chesterfield, MI 48047-5721
Phone (586) 598-3329
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Gastroenterology Physician
- Chesterfield, MI
- NPI 1588641633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666742400000",
"number": "1215654660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30795 23 MILE RD",
"address_2": "STE 206",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480475721",
"telephone_number": "586-598-3329",
"fax_number": "586-948-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30795 23 MILE RD",
"address_2": "STE 206",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480475721",
"telephone_number": "586-598-3329",
"fax_number": "586-948-1386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL RESEARCH INSTITUTE OF MICHIGAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-26",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A",
"authorized_official_last_name": "FOGEL",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PARTNER/OWNER",
"authorized_official_telephone_number": "586-598-3329",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.