MJ Collections

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MJ COLLECTIONS

Practice address

8924 White Oak Ave
Suite 6
Munster, IN 46321

Phone

(219) 713-4630

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Renee Pupillo, CPCT

Title

President

Phone

(219) 713-4630

Specialties & licenses 1

Addresses

Other names 1

• MJ DRUG DNA TESTING SERVICES Other name

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255478368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 E 85TH AVE",
            "city": "MERRIVILLE",
            "state": "IN",
            "postal_code": "46310",
            "telephone_number": "219-713-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8924 WHITE OAK AVE",
            "address_2": "SUITE 6",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-713-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ COLLECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUPILLO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-713-4630",
        "authorized_official_credential": "CPCT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MJ DRUG DNA TESTING SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cathy Marie Mistovich, OT
• Makayla Shanice Mitchell
• Mark A Mitchell, D.O.
• Tracey Mitchell, RBT
• Michael Robert Mitsos, D.D.S.
• MMJ Cocos Boutique Inc
• Mobile Doctors Inc
• Harry A Moffitt, DO
• Panthiruvelil Scaria Mohan Thomas, MD
• Meera Mohan

• Clinical Medical Laboratory in Munster, IN
• Providers in Munster, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.