Organization Active NPI

365 Health Diagnostics LLC

  • Clinical Medical Laboratory
  • Dearborn, MI
National Provider Identifier
1467914721
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
365 HEALTH DIAGNOSTICS LLC
Practice address
22260 Garrison St
Dearborn, MI 48124-2208
Phone
(313) 563-6000
Fax
(313) 563-6001
NPI assigned
Apr 4, 2019
Last updated
Apr 4, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
365 HEALTH CARE GROUP PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Michael S Pagnano
Title
Laboratory Director
Phone
(313) 563-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

22260 Garrison St
Dearborn, MI 48124-2208

Mailing address

22260 Garrison St
Dearborn, MI 48124-2208
Phone (313) 563-6000

National Provider Directory

National Provider Directory
Part of
365 Health Care Group PLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1467914721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22260 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242208",
            "telephone_number": "313-563-6000",
            "fax_number": "313-563-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22260 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242208",
            "telephone_number": "313-563-6000",
            "fax_number": "313-563-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "365 HEALTH DIAGNOSTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "365 HEALTH CARE GROUP PLC",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "PAGNANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "313-563-6000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.