Active NPI
Medical Laboratory Service Inc
- Clinical Medical Laboratory
- Jackson, MI
National Provider Identifier
1306350194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MEDICAL LABORATORY SERVICE INC
- Practice address
- 2324 Brooklyn Rd
Jackson, MI 49203-4750 - Phone
- (517) 997-1000
- NPI assigned
- Dec 1, 2017
- Last updated
- May 23, 2025
- 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
- Mary Iocca-Smith
- Title
- Member
- Phone
- (517) 206-7267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
2324 Brooklyn Rd
Jackson, MI 49203-4750
Mailing address
31700 W 13 Mile Rd # 218
Farmington Hills, MI 48334-2166
Phone (248) 907-3985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180206000623 | MI | Part B Supplier - Independent Clinical Laboratory | 3779843057 | Practice locations: Jackson, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2141799 | Medical Laboratory Service, Inc | Accreditation | Feb 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
31700 W 13 Mile Rd
Ofc 218
Farmington Hills, MI 48334
Phone (248) 462-7112
2324 Brooklyn Rd
Jackson, MI 49203
Phone (248) 462-7112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747958400000",
"number": "1306350194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31700 W 13 MILE RD # 218",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342166",
"telephone_number": "248-907-3985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 BROOKLYN RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492034750",
"telephone_number": "517-997-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL LABORATORY SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-01",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A",
"authorized_official_last_name": "IOCCA-SMITH",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "517-206-7267"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.