Active NPI
Diagnostic Evaluation Services, PLLC
- Clinic/Center
- Detroit, MI
National Provider Identifier
1235560988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- E31056
- Legal business name
- DIAGNOSTIC EVALUATION SERVICES, PLLC
- Practice address
- 17401 Greenfield Rd
Detroit, MI 48235-3700 - Phone
- (303) 246-9879
- NPI assigned
- Dec 5, 2013
- 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
- William Qutub
- Title
- Ceo
- Phone
- (303) 246-9879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | E31056 | MI | Primary |
Addresses
Primary practice location
17401 Greenfield Rd
Detroit, MI 48235-3700
Mailing address
PO Box 271388
Littleton, CO 80127-0023
Phone (303) 246-9879
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386201600000",
"number": "1235560988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271388",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801270023",
"telephone_number": "303-246-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17401 GREENFIELD RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353700",
"telephone_number": "303-246-9879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC EVALUATION SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-05",
"last_updated": "2013-12-05",
"status": "A",
"authorized_official_last_name": "QUTUB",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "303-246-9879"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MI",
"license": "E31056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.