Individual provider Active NPI

Patrick Dale Zarucki, MLT

  • Medical Laboratory Technician
  • Sterling Heights, MI
National Provider Identifier
1649460429
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
Practice address
2356 Kipling Dr
Sterling Heights, MI 48310-2331
Phone
(781) 974-9661
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Laboratory Technician 246RM2200X Primary

Addresses

Primary practice location

2356 Kipling Dr
Sterling Heights, MI 48310-2331

Mailing address

2356 Kipling Dr
Sterling Heights, MI 48310-2331
Phone (781) 974-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1649460429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 KIPLING DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102331",
            "telephone_number": "781-974-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 KIPLING DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102331",
            "telephone_number": "781-974-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARUCKI",
        "first_name": "PATRICK",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MLT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.