Biolight Therapeutics LLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

4301034892 Issued in MI

Legal business name

BIOLIGHT THERAPEUTICS LLC

Practice address

15600 W 7 Mile Rd
Detroit, MI 48235-2928

Phone

(248) 456-0619

Fax

(248) 456-0729

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Jason Smith

Title

Director

Phone

(248) 456-0619

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederick A Hogan, DO

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1801974050
  NPD (past)
• Iqbal Nasir, MD

  • Adult Medicine Physician
  • Southfield, MI
  • NPI 1639261696
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1629281068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352928",
            "telephone_number": "248-456-0619",
            "fax_number": "248-456-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352928",
            "telephone_number": "248-456-0619",
            "fax_number": "248-456-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOLIGHT THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-456-0619"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301034892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "0F32887",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Michigan, Inc. (FMC Dialysis Services Bewick)
• Bio-Medical Applications of Michigan, Inc. (Bma Northwest Detroit)
• Bio-Medical Applications of Michigan, Inc. (FMC Conner Dialysis Center)
• Bio-Medical Applications of Michigan, Inc. (FMC Dialysis Services East Detroit)
• Bio-Medical Applications of Michigan, Inc. (FMC Dialysis Services University)
• Biomed Pharmacy-Detroit, LLC (BioMed Specialty Pharmacy-Detroit)
• Biopharm Consultants (Corktown Apothecary)
• Christine Birch, M.A., CCC-SLP
• Monica Jones Birch, PHARMD
• Zachary Joseph Birchmeier

• Legal Medicine in Detroit, MI
• Providers in Detroit, MI by specialty
• Legal Medicine in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.