NPIMap

Organization Active NPI

Macomb Family Lab Services LLC

  • Clinic/Center
  • Warren, MI
National Provider Identifier
1316690290
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MACOMB FAMILY LAB SERVICES LLC
Practice address
31110 Saratoga Ave
Warren, MI 48093-1619
Phone
(313) 727-5009
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Joni McCoy, FNP-CNPI 1659916955
Title
Owner
Phone
(313) 727-5009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

31110 Saratoga Ave
Warren, MI 48093-1619

Mailing address

26140 Crocker Blvd Ste 1013
Harrison Township, MI 48045-2454
Phone (313) 727-5009

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1316690290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26140 CROCKER BLVD STE 1013",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480452454",
            "telephone_number": "313-727-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31110 SARATOGA AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480931619",
            "telephone_number": "313-727-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB FAMILY LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-727-5009",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.