Organization Active NPI

Biochem Diagnostics Laboratory, Inc

  • Clinical Medical Laboratory
  • Southfield, MI
National Provider Identifier
1639573389
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BIOCHEM DIAGNOSTICS LABORATORY, INC
Practice address
18161 W 13 Mile Rd
Suite D3
Southfield, MI 48076-1113
Phone
(248) 837-0868
Fax
(888) 636-1826
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Teofil Gherasim
Title
President
Phone
(248) 837-0868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

18161 W 13 Mile Rd
Suite D3
Southfield, MI 48076-1113

Mailing address

18161 W 13 Mile Rd
Suite D3
Southfield, MI 48076-1113
Phone (248) 837-0868

Other identifiers 1

IdentifierTypeStateIssuer
23D2084247OtherMICLIA

National Provider Directory

National Provider Directory

Locations

18161 W 13 Mile Rd
Ste D
Southfield, MI 48076
Phone (248) 837-0868

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1639573389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 W 13 MILE RD",
            "address_2": "SUITE D3",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761113",
            "telephone_number": "248-837-0868",
            "fax_number": "888-636-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 W 13 MILE RD",
            "address_2": "SUITE D3",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761113",
            "telephone_number": "248-837-0868",
            "fax_number": "888-636-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOCHEM DIAGNOSTICS LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "GHERASIM",
        "authorized_official_first_name": "TEOFIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-837-0868"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D2084247",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.