Theramedical Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

THERAMEDICAL LABORATORIES, LLC

Practice address

24555 Southfield Rd
Suite 120
Southfield, MI 48075-2738

Phone

(419) 509-1635

Fax

(877) 765-5868

NPI assigned

Oct 16, 2014

Organization subpart

No

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

Authorized official

Name

Matt Maluchnik

Title

Cfo

Phone

(419) 509-1635

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1629472808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435520012",
            "telephone_number": "419-509-1635",
            "fax_number": "877-765-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24555 SOUTHFIELD RD",
            "address_2": "SUITE 120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752738",
            "telephone_number": "419-509-1635",
            "fax_number": "877-765-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAMEDICAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "MALUCHNIK",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-509-1635"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theraflex Physical Therapy LLC
• Therahealth Physio Therapy
• Theramatrix Physical Therapy
• Theramatrix, Inc
• Theramedic Home Health Care LLC
• Therapeutic Rehab PLLC
• Therapeutic Support Alternatives, Inc.
• Therapeutically Designed Inc.
• Therapy Professionals LLC
• Therapy Trends LLC

• 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 16, 2014; 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.