Organization Active NPI

Proventus Lab Services, Inc.

  • Clinical Medical Laboratory
  • Plymouth, MI
National Provider Identifier
1609393685
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PROVENTUS LAB SERVICES, INC.
Practice address
15095 Northville Rd
Plymouth, MI 48170-2548
Phone
(561) 234-8196
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Magdalena OroszNPI 1912424573
Title
Director
Phone
(561) 234-8196

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

15095 Northville Rd
Plymouth, MI 48170-2548

Mailing address

44298 Cypress Point Dr
Northville, MI 48168-9659

National Provider Directory

National Provider Directory

Locations

15095 Northville Rd
Plymouth, MI 48170
Phone (561) 234-8196

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": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1609393685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44298 CYPRESS POINT DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481689659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15095 NORTHVILLE RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702548",
            "telephone_number": "561-234-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVENTUS LAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "OROSZ",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-234-8196"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.