Organization Active NPI

Ucm Lab LLC

  • Clinical Medical Laboratory
  • Farmington Hills, MI
National Provider Identifier
1578348744
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UCM LAB LLC
Practice address
34405 W 12 Mile Rd Ste 205
Farmington Hills, MI 48331-3391
Phone
(248) 522-9540
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Farah Iftikhar, MDNPI 1376542035
Title
Owner
Phone
(248) 470-6581

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
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

34405 W 12 Mile Rd Ste 205
Farmington Hills, MI 48331-3391

Mailing address

34405 W 12 Mile Rd Ste 205
Farmington Hills, MI 48331-3391

National Provider Directory

National Provider Directory

Locations

34405 W 12 Mile Rd
Ste 205
Farmington Hills, MI 48331
Phone (248) 880-6225

Practitioners & affiliated clinicians

Practitioners 1

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": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1578348744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34405 W 12 MILE RD STE 205",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34405 W 12 MILE RD STE 205",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313391",
            "telephone_number": "248-522-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCM LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "IFTIKHAR",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-470-6581",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.