Active NPI
Prime Cores Inc
- Clinical Medical Laboratory
- Dearborn Heights, MI
National Provider Identifier
1518890896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PRIME CORES INC
- Practice address
- 4245 Beech Daly Road
202A
Dearborn Heights, MI 48125 - Phone
- (586) 210-0861
- NPI assigned
- Jun 5, 2026
- Reactivated
- Sep 23, 2026
- Last updated
- Sep 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sumithra Chundru
- Title
- Owner
- Phone
- (586) 210-0861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4245 Beech Daly Road
202A
Dearborn Heights, MI 48125
Mailing address
4245 Beech Daly Road 202a
Dearborn Heights, MI 48125-1576
Phone (586) 210-0861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1518890896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4245 BEECH DALY ROAD 202A",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481251576",
"telephone_number": "586-210-0861",
"fax_number": "888-804-0426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 BEECH DALY ROAD",
"address_2": "202A",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "48125",
"telephone_number": "586-210-0861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME CORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-05",
"last_updated": "2026-09-24",
"certification_date": "2026-09-23",
"deactivation_date": "2026-09-16",
"reactivation_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "CHUNDRU",
"authorized_official_first_name": "SUMITHRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-210-0861"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn Heights, MI
- Premier Services of Michigan, LLC (Community Medical Services)
- Premier Services of Michigan, LLC (Community Medical Services Dearborn Heights)
- Premier Services of Michigan, LLC (Premier Care Dearborn Heights)
- Primary Care Center PLLC
- Prime Auto Case Management LLC
- Prime Garden City Medical Group (Center for Women's Health)
- Primecare Residential Support LLC
- Priority One Health Essentials, PLLC
- Priority One Wellness Center,PLLC
- Pro Health Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.