Organization Active NPI

Outest Medical

Doing business as Outest Neurodiagnostics

  • Electroneurodiagnostic Specialist/Technologist
  • Bloomfield TWP, MI
National Provider Identifier
1225383631
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
OUTEST MEDICAL
Doing business as
Outest Neurodiagnostics
Practice address
2055 Franklin
Bloomfield TWP.,, MI 48302
Phone
(248) 499-6820
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Mr. Gregory S Lukasik
Title
President
Phone
(248) 330-3520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

2055 Franklin
Bloomfield TWP.,, MI 48302

Mailing address

6418 Mission Court
West Bloomfield, MI 48324-1398
Phone (248) 330-3520

Other names 1

  • Outest Neurodiagnostics Doing business as

National Provider Directory

National Provider Directory

Locations

2055 Franklin Rd
Bloomfield Township, MI 48302
Phone (248) 499-6820

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1225383631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6418 MISSION COURT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241398",
            "telephone_number": "248-330-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 FRANKLIN",
            "city": "BLOOMFIELD TWP.,",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-499-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTEST MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "LUKASIK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-330-3520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outest Neurodiagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.