Madison Medical Center PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MADISON MEDICAL CENTER PC

Practice address

13409 E 14 Mile Rd
Sterling HTS, MI 48312-6304

Phone

(586) 977-3900

Fax

(586) 977-6084

NPI assigned

Feb 11, 2008

Organization subpart

Yes

Parent organization

MADISON MEDICAL CENTER PCAs reported in NPPES

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

Authorized official

Name

Ram Gunabalan, MD

Title

President

Phone

(248) 583-8922

Specialties & licenses 1

Addresses

Other names 1

• Sterling Medical Lab Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Madison Medical Ctr PC2 organizations share this tax ID, including this one

Part of

Madison Medical Ctr PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Madison Medical Center PC

  dba Madison Home Care

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Troy, MI
  • NPI 1538353776
  NPD tax ID

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1467620617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30781 STEPHENSON HWY",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480711618",
            "telephone_number": "248-583-8922",
            "fax_number": "248-583-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13409 E 14 MILE RD",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483126304",
            "telephone_number": "586-977-3900",
            "fax_number": "586-977-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON MEDICAL CENTER PC",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "GUNABALAN",
        "authorized_official_first_name": "RAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-583-8922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Medical Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard Kulbersh, D.M.D.,M.S,P.L.C
• Laura S Henderson LMSW PLLC
• Mohogany Tyiese Lee
• Debra Levengood
• Madison Medical Center (Sterling Medical Center)
• Marlene Tejano Mansour, MD
• Mapleview Diagnostic Center Inc
• Metro Family Support Counseling PC (none)
• Michael Butkus PHD LP PLLC
• Avi Michel

• Clinical Medical Laboratory in Sterling HTS, MI
• Providers in Sterling HTS, 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 Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.