Organization Active NPI

Prime Cores Inc

  • Clinical Medical Laboratory
  • Dearborn Heights, MI
National Provider Identifier
1356272231
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRIME CORES INC
Practice address
4245 Beech Daly Road 202a
Dearborn Heights, MI 48125
Phone
(586) 210-0861
Fax
(888) 804-0426
NPI assigned
May 28, 2026
Reactivated
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Sumithra Chundru
Title
Owner
Phone
(586) 210-0861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4245 Beech Daly Road 202a
Dearborn Heights, MI 48125

Mailing address

4245 Beech Daly Road 202a
Dearborn Heights, MI 48125
Phone (586) 210-0861

National Provider Directory

National Provider Directory
Tax ID family
Prime Cores Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1356272231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 BEECH DALY ROAD 202A",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48125",
            "telephone_number": "586-210-0861",
            "fax_number": "888-804-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 BEECH DALY ROAD 202A",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48125",
            "telephone_number": "586-210-0861",
            "fax_number": "888-804-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-10-20",
        "certification_date": "2026-08-06",
        "deactivation_date": "2026-09-16",
        "reactivation_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "CHUNDRU",
        "authorized_official_first_name": "SUMITHRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-210-0861"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.