Garden City Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D2035755 Issued in MI

Legal business name

GARDEN CITY DIAGNOSTICS

Practice address

28050 Ford Rd Ste B
Garden City, MI 48135-2967

Phone

(734) 799-1338

Fax

(313) 762-1718

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Lydia Kimmel, RN, PHD, CHMM

Title

Owner/Associate Laboratory Director

Phone

(313) 836-2381

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1336407006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28050 FORD RD STE C",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352967",
            "telephone_number": "313-836-2381",
            "fax_number": "313-762-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28050 FORD RD STE B",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352967",
            "telephone_number": "734-799-1338",
            "fax_number": "313-762-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER/ASSOCIATE LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "313-836-2381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, PHD, CHMM"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D2035755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CLIA",
            "identifier": "23D2035755",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Trace Frye, DO
• Susan Marie Galbreath, RRT
• Kaumudi Gali, PT
• Raagini Suresh Gandhi, MD
• Garden City Audiology, LLC
• Garden City Discount Pharmacy LLC (Garden City Discount Pharmacy)
• Garden City Family Dentistry
• Garden City Family Physicians, PLLC
• Garden City Home Medical Equipment, LLC
• Garden City Hospital

• Clinical Medical Laboratory in Garden City, MI
• Providers in Garden City, 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 May 1, 2012; 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.