Tanisha Eason

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

17343 Hidden Lake Way
Northville, MI 48168-2293

Phone

(248) 595-2300

NPI assigned

Oct 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ameen Mobile Laboratory Aml

  • Point of Service
  • Redford, MI
  • NPI 1588114706
  NPD (past) Authorized official

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670716800000",
    "number": "1457801003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11654 VIRGIL",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391447",
            "telephone_number": "313-773-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17343 HIDDEN LAKE WAY",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481682293",
            "telephone_number": "248-595-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11421 Melrose St",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481502887",
            "country_code": "US",
            "telephone_number": "313-773-4397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASON",
        "first_name": "TANISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2022-12-11",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Ducatel, PT
• Kelsey Dutot
• Grace Duzan
• Kate Elizabeth Dykhuis, MA
• Early Solutions Clinic, LLC
• Phyllis T Edelstein, MSW LMSW
• Roger Charles Edwards, MSPT
• Peter J Ehlendt, D.D.S.
• Ijeoma Ekeogu
• El-Awadi Northville DDS PLLC (Northville City Dental)

• Clinical Medical Laboratory in Northville, MI
• Providers in Northville, 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 Dec 11, 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.