Organization Active NPI

Alpha & Omega MC LLC

  • General Practice Physician
  • Livonia, MI
National Provider Identifier
1619166436
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ALPHA & OMEGA MC LLC
Practice address
28807 8 Mile Rd
Suite 102
Livonia, MI 48152-2078
Phone
(313) 772-0406
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Mrs. Karina E Hernandez
Title
Managing Member
Phone
(313) 772-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

28807 8 Mile Rd
Suite 102
Livonia, MI 48152-2078

Mailing address

28807 8 Mile Rd
Suite 102
Livonia, MI 48152-2078
Phone (313) 772-0406

National Provider Directory

National Provider Directory

Locations

28807 8 Mile Rd
Ste 102
Livonia, MI 48152
Phone (248) 471-5550

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1619166436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28807 8 MILE RD",
            "address_2": "SUITE 102",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522078",
            "telephone_number": "313-772-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28807 8 MILE RD",
            "address_2": "SUITE 102",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522078",
            "telephone_number": "313-772-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA & OMEGA MC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "KARINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "313-772-0406",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.