Organization Active NPI

Quantum Labs

  • Clinical Medical Laboratory
  • Southfield, MI
National Provider Identifier
1417316100
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
QUANTUM LABS
Practice address
24555 Southfield Rd Ste L-70
Southfield, MI 48075-2738
Phone
(248) 262-7731
Fax
(888) 392-6043
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Oluseyi Ayangade
Title
Owner
Phone
(248) 262-7731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

24555 Southfield Rd Ste L-70
Southfield, MI 48075-2738

Mailing address

1175 American Pacific Dr Ste F
Henderson, NV 89074-8768
Phone (702) 637-0860

National Provider Directory

National Provider Directory

Locations

24555 Southfield Rd
Ste L70
Southfield, MI 48075
Phone (248) 262-7731

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1417316100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 AMERICAN PACIFIC DR STE F",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748768",
            "telephone_number": "702-637-0860",
            "fax_number": "702-939-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24555 SOUTHFIELD RD STE L-70",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752738",
            "telephone_number": "248-262-7731",
            "fax_number": "888-392-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "AYANGADE",
        "authorized_official_first_name": "OLUSEYI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-262-7731"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.