Organization Active NPI

Atlantis Diagnostic Laboratories LLC

  • Clinical Medical Laboratory
  • Southfield, MI
National Provider Identifier
1427413103
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ATLANTIS DIAGNOSTIC LABORATORIES LLC
Practice address
24555 Southfield Rd
Suite L80
Southfield, MI 48075-2738
Phone
(947) 282-6924
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Syed Ali Karim
Title
President
Phone
(947) 282-6924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

24555 Southfield Rd
Suite L80
Southfield, MI 48075-2738

Mailing address

PO Box 9197
College Station, TX 77842-9197

National Provider Directory

National Provider Directory

Locations

24555 Southfield Rd
Ste L80
Southfield, MI 48075
Phone (947) 282-6924

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1427413103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9197",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778429197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24555 SOUTHFIELD RD",
            "address_2": "SUITE L80",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752738",
            "telephone_number": "947-282-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS DIAGNOSTIC LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "947-282-6924"
    },
    "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 Dec 22, 2015; 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.