Stat Toxicology, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

STAT TOXICOLOGY, LLC

Practice address

5136 Lovers LN
Suite 104
Portage, MI 49002-1518

Phone

(269) 743-6060

NPI assigned

Nov 12, 2013

Organization subpart

No

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

Authorized official

Name

Matthew Lund

Title

President

Phone

(269) 743-6060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1346679370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 LOVERS LN",
            "address_2": "SUITE 104",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5136 LOVERS LN",
            "address_2": "SUITE 104",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021518",
            "telephone_number": "269-743-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT TOXICOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-743-6060"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam D Standiford, PA-C
• Ferris R Standiford, O.D.
• Laurie Ann Standiford, R.PH.
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• Sarah Jane Stawowy, LCSW
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• Moriah Steele, AUD
• Israil U Steen, LMSW

• Clinical Medical Laboratory in Portage, MI
• Providers in Portage, 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 Nov 12, 2013; 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.