Consortiums Laboratory Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CONSORTIUMS LABORATORY SERVICES LLC

Practice address

31201 Chicago Rd S Ste B102
Warren, MI 48093-5500

Phone

(586) 698-2096

NPI assigned

Jan 13, 2022

Last updated

Jun 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahshan Latif

Title

Managing Employee

Phone

(313) 478-4259

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1386395127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE B102",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935500",
            "telephone_number": "586-698-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE B102",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935500",
            "telephone_number": "586-698-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSORTIUMS LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "AHSHAN",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "313-478-4259"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Marie Confer, OTR/L
• Keiana Conley
• Autumn Conner, MOT, OTRL
• Jennifer Nicole Conner, P.T, DPT
• Consortium Laboratory Services, LLC
• Wayne P. Conti, R.PH.
• Caroline Cook, HOME CARE PROVIDER
• Clarissa Cook
• Tiffani Cooper, DPT
• Nikita Cordes, ATC

• Clinical Medical Laboratory in Warren, MI
• Providers in Warren, 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 Jun 7, 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.