Ford Bio Medical Laboratory Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FORD BIO MEDICAL LABORATORY INC.

Practice address

5601 Schaefer Rd Ste 200
Dearborn, MI 48126-4713

Phone

(313) 581-9295

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Aida Abdulhak, LAB DIRECTOR

Title

Owner

Phone

(313) 581-9295

Specialties & licenses 1

Addresses

Other names 1

• FORD BIO MEDICAL LABORATORY Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1639375561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 SCHAEFER RD STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264713",
            "telephone_number": "313-581-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 SCHAEFER RD STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264713",
            "telephone_number": "313-581-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD BIO MEDICAL LABORATORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "ABDULHAK",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-581-9295",
        "authorized_official_credential": "LAB DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORD BIO MEDICAL LABORATORY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Medical Laboratory in Dearborn, MI
• Providers in Dearborn, 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 Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.