Biotox Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BIOTOX LABORATORY, LLC

Practice address

4619 Allen Rd
Allen Park, MI 48101-2765

Phone

(313) 427-8960

NPI assigned

Oct 7, 2015

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BIOTOX LABORATORY, LLCAs reported in NPPES

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

Authorized official

Name

Anwar Baker

Title

Owner

Phone

(313) 427-8960

Specialties & licenses 1

Addresses

Part of

Biotox Laboratory LLC

Locations

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1346611092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012765",
            "telephone_number": "313-427-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012765",
            "telephone_number": "313-427-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOTOX LABORATORY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIOTOX LABORATORY, LLC",
        "enumeration_date": "2015-10-07",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-427-8960"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.