Active NPI
Outest Medical
Doing business as Outest Neurodiagnostics
- Electroneurodiagnostic Specialist/Technologist
- Bloomfield TWP, MI
National Provider Identifier
1225383631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 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
National Provider Directory
National Provider DirectoryLocations
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.