Organization Active NPI

Lamis,Inc.

  • Internal Medicine Physician
  • Southgate, MI
National Provider Identifier
1487862140
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301077121 Issued in MI
Legal business name
LAMIS,INC.
Practice address
15450 Northline Rd
Suite 101
Southgate, MI 48195-2398
Phone
(734) 282-2020
Fax
(734) 282-2002
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Ammar Kanaan, MDNPI 1881621688
Title
Physician
Phone
(734) 282-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301077121 MI Primary

Addresses

Primary practice location

15450 Northline Rd
Suite 101
Southgate, MI 48195-2398

Mailing address

15450 Northline Rd
Suite 101
Southgate, MI 48195-2398
Phone (734) 282-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070814000140 MI Part B Supplier - Clinic/Group Practice 1759472152 Receives reassigned benefits from 1 practitioner
Practice locations: Southgate, MI

National Provider Directory

National Provider Directory

Locations

15450 Northline Rd
Ste 101
Southgate, MI 48195
Phone (734) 225-1315

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1487862140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15450 NORTHLINE RD",
            "address_2": "SUITE 101",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952398",
            "telephone_number": "734-282-2020",
            "fax_number": "734-282-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 NORTHLINE RD",
            "address_2": "SUITE 101",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952398",
            "telephone_number": "734-282-2020",
            "fax_number": "734-282-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMIS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "KANAAN",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "734-282-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301077121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.