Organization Active NPI

Patino Laboratories LLC

  • Clinical Medical Laboratory
  • Livonia, MI
National Provider Identifier
1235520313
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PATINO LABORATORIES LLC
Practice address
29150 Buckingham
Suite 12
Livonia, MI 48154-7500
Phone
(734) 207-9999
Fax
(734) 943-6009
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Frank Patino, M.D.NPI 1538147723
Title
Ceo/Owner
Phone
(734) 207-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MI Primary

Addresses

Primary practice location

29150 Buckingham
Suite 12
Livonia, MI 48154-7500

Mailing address

29150 Buckingham
Suite 12
Livonia, MI 48154-7500
Phone (734) 207-9999

National Provider Directory

National Provider Directory

Locations

29150 Buckingham St
Ste 12
Livonia, MI 48154
Phone (734) 207-9999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235520313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29150 BUCKINGHAM",
            "address_2": "SUITE 12",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481547500",
            "telephone_number": "734-207-9999",
            "fax_number": "734-943-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29150 BUCKINGHAM",
            "address_2": "SUITE 12",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481547500",
            "telephone_number": "734-207-9999",
            "fax_number": "734-943-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATINO LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATINO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "734-207-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.