Suburban Medical Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D0339673 Issued in OH

Legal business name

SUBURBAN MEDICAL LABORATORY, INC.

Doing business as

Medlab

Practice address

39303 Country Club Dr
Suite C-30
Farmington Hills, MI 48331-3478

Phone

(513) 752-7300

Fax

(513) 201-0013

NPI assigned

Jul 24, 2012

Last updated

Aug 21, 2012By 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

Mr. Donald Elmer Hoskins

Title

Director, Billing Operations

Phone

(513) 752-7300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medlab Doing business as

Locations

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1447506787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 OHIO PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452117",
            "telephone_number": "513-752-7300",
            "fax_number": "513-201-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39303 COUNTRY CLUB DR",
            "address_2": "SUITE C-30",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313478",
            "telephone_number": "513-752-7300",
            "fax_number": "513-201-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN MEDICAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "HOSKINS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ELMER",
        "authorized_official_title_or_position": "DIRECTOR, BILLING OPERATIONS",
        "authorized_official_telephone_number": "513-752-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0339673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0288004",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D0339673",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medlab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eshmirti Subedi
• Bertha Subia
• Heather Subia
• Suhanya Subramanian, RDH
• Daniel Subramaniyam
• Catherine Sucan
• Ruth Succo
• Alicia Suciu
• Toni Suckey
• Paige Sudar

• Clinical Medical Laboratory in Farmington Hills, MI
• Providers in Farmington Hills, 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 Aug 21, 2012; 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.