NPIMap

Organization Active NPI

Ford PCR Drive Thru LLC

  • Clinical Medical Laboratory
  • Dearborn, MI
National Provider Identifier
1356001598
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FORD PCR DRIVE THRU LLC
Practice address
24517 Ford Rd
Dearborn, MI 48128-1131
Phone
(480) 262-7993
NPI assigned
Dec 29, 2021
Last updated
Jul 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Mr. Ali Hazimeh, MDNPI 1437413721
Title
Sole Member
Phone
(313) 415-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

24517 Ford Rd
Dearborn, MI 48128-1131

Mailing address

24517 Ford Rd
Dearborn, MI 48128-1131
Phone (480) 262-7993

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1356001598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24517 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281131",
            "telephone_number": "480-262-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24517 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281131",
            "telephone_number": "480-262-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD PCR DRIVE THRU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "HAZIMEH",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "313-415-1515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.