NPIMap

Organization Active NPI

Madison Community Hospital Inc

  • Clinical Medical Laboratory
  • Eastpointe, MI
National Provider Identifier
1376978437
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MADISON COMMUNITY HOSPITAL INC
Practice address
17200 E 10 Mile Rd
Suite 250
Eastpointe, MI 48021-3355
Phone
(248) 619-9771
Fax
(248) 583-8969
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Ram Gunabalan, MD
Title
Manager
Phone
(248) 619-9771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

17200 E 10 Mile Rd
Suite 250
Eastpointe, MI 48021-3355

Mailing address

30781 Stephenson Hwy
Madison HTS, MI 48071-1618
Phone (248) 284-2316

Other names 1

  • Samaritan Labs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madison Community Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

17200 E 10 Mile Rd
Ste 250
Eastpointe, MI 48021
Phone (248) 619-9771

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1376978437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30781 STEPHENSON HWY",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480711618",
            "telephone_number": "248-284-2316",
            "fax_number": "248-583-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 E 10 MILE RD",
            "address_2": "SUITE 250",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213355",
            "telephone_number": "248-619-9771",
            "fax_number": "248-583-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "GUNABALAN",
        "authorized_official_first_name": "RAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-619-9771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.