Professional Lab Testing

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROFESSIONAL LAB TESTING

Practice address

16250 Northland Dr Ste 371
Southfield, MI 48075-5228

Phone

(248) 443-2869

Fax

(248) 443-2902

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Tangie Eureka Garner

Title

Owner

Phone

(248) 443-2869

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649390261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR STE 371",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755228",
            "telephone_number": "248-443-2869",
            "fax_number": "248-443-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR STE 371",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755228",
            "telephone_number": "248-443-2869",
            "fax_number": "248-443-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL LAB TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "TANGIE",
        "authorized_official_middle_name": "EUREKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-443-2869"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2020; 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.