Affinity Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AFFINITY LAB

Practice address

29201 Telegraph Rd Ste 400
Southfield, MI 48034-7647

Phone

(248) 552-8525

Fax

(248) 552-1134

NPI assigned

Dec 23, 2014

Organization subpart

Yes

Parent organization

PHOENIX MEDICAL GROUP, PCAs reported in NPPES

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

Authorized official

Name

Mrs. Abbie Hill

Title

Admin

Phone

(248) 304-7674

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Phoenix Medical Group PC4 organizations share this tax ID, including this one

Part of

Phoenix Medical Group PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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  NPD tax ID
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  NPD tax ID
• Vital Sleep Center, PLLC

  • Sleep Disorder Diagnostic Clinic/Center
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  NPD tax ID

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1255729471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 450",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347604",
            "telephone_number": "248-304-7659",
            "fax_number": "248-423-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347647",
            "telephone_number": "248-552-8525",
            "fax_number": "248-552-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX MEDICAL GROUP, PC",
        "enumeration_date": "2014-12-23",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ABBIE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "248-304-7674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D2080682",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Affecting Change, LLC
• Affiliated Diagnostic of Oakland LLC
• Affiliated Health Services, Inc.
• Affiliated Health Services, Inc.
• Affinity Direct Home Care
• Ahmed Afify, DMD
• Rana Afram, DO
• Agape Love Center LLC
• Agape Love Home Care Services
• Agape Professional Home Care

• Clinical Medical Laboratory in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.