Biotech Clinical Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BIOTECH CLINICAL LABORATORIES, INC.

Practice address

1540 Lake Lansing Rd
Suite G04
Lansing, MI 48912-3756

Phone

(517) 913-3990

Fax

(517) 913-3994

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Joseph Khalifeh

Title

President

Phone

(248) 426-0824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Biotech Clinical Laboratories Inc

  • Clinical Medical Laboratory
  • Novi, MI
  • NPI 1053314146

  O20070824000232

  Same enrollment

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1487854352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD",
            "address_2": "SUITE G04",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123756",
            "telephone_number": "517-913-3990",
            "fax_number": "517-913-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD",
            "address_2": "SUITE G04",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123756",
            "telephone_number": "517-913-3990",
            "fax_number": "517-913-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOTECH CLINICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "KHALIFEH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-426-0824"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas James Evan Joseph Bila, LPN
• Dana Billings, CONSULTANT
• Kurt Binder
• Caitlyn Rose Bingham
• William Claude Biny, PHARMD
• Susan Bird, DNP, AGPCNP-BC
• Katreva Bisbee
• BJ'S Wholesale Club Inc.
• Jeffrey Lee Blackburn, DDS
• Chandal Blackman

• Clinical Medical Laboratory in Lansing, MI
• Providers in Lansing, 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 Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.