Pioneer Central Medical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PIONEER CENTRAL MEDICAL LABORATORY LLC

Practice address

15230 Levan Rd
Livonia, MI 48154-5030

Phone

(248) 794-3963

NPI assigned

May 31, 2018

Organization subpart

No

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

Authorized official

Name

Dania Murad

Title

Owner

Phone

(248) 907-0300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1306338884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15230 LEVAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545030",
            "telephone_number": "248-907-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15230 LEVAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545030",
            "telephone_number": "248-794-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER CENTRAL MEDICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "MURAD",
        "authorized_official_first_name": "DANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-907-0300"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Taylor Pigott, M.A. CCC-SLP
• Erik Pillars
• Andrea Pillow, NP
• Deepa Rengaraj Pinkney, RPH
• Farzana S Pinky, PHARMD
• Suzanne Piotrowski, M.S., A.T., P.T.A
• Katharine CT Piper-Shatzman, LMSW
• Hadi Alfred Piraka, MD
• Ryan Ahria Pirooz, M.D.
• Swati K Pise

• Clinical Medical Laboratory in Livonia, MI
• Providers in Livonia, 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 Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.