St Christophers Diagnostic Labs of Michigan

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ST CHRISTOPHERS DIAGNOSTIC LABS OF MICHIGAN

Practice address

25552 Shiawassee Rd Apt 521
Southfield, MI 48033-3708

Phone

(623) 277-7828

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Paula Lorraine Hester

Title

Ceo/Director

Phone

(623) 277-7828

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1548081789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25552 SHIAWASSEE RD APT 521",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333708",
            "telephone_number": "623-277-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25552 SHIAWASSEE RD APT 521",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333708",
            "telephone_number": "623-277-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHRISTOPHERS DIAGNOSTIC LABS OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "623-277-7828"
    },
    "taxonomies": [
        {
            "code": "291900000X",
            "taxonomy_group": "",
            "desc": "Military Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Springfield
• Patricia Ann Springs, LMSW
• Springwell Adult Services PLLC
• Christie Spudowski
• St Abyssinia Physical Therapy LLC
• St Christophers Medical Courier Delivery Service
• St John Health
• St John Providence Health
• St John Providence Health System
• St Jude Therapy Center Staffing

• Clinical Medical Laboratory in Southfield, MI
• Providers in Southfield, 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 Oct 21, 2024; 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.