Active NPI
Quantum Labs
- Clinical Medical Laboratory
- Southfield, MI
National Provider Identifier
1417316100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1366510893
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
- Quality Foot & Ankle Clinic
- Quality Home Health Care Services of Michigan,Inc.
- Quality Home Health Services of Southeast Michigan
- Quality Homecare LLC
- Quantum Health Enterprises
- Damien Quarles
- Donna Marie Queen, BA
- Quest Diagnostics Incorporated
- Quick Response Medical Professionals, P.C.
- Quick Response Medical Professionals, P.C.
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.