Organization Active NPI

Greenfield Labs LLC

  • Clinical Medical Laboratory
  • Oak Park, MI
National Provider Identifier
1669167391
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GREENFIELD LABS LLC
Practice address
23350 Greenfield Rd Ste 215
Oak Park, MI 48237-2496
Phone
(586) 996-4444
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Mr. Lawrence Dehko
Title
Owner
Phone
(586) 996-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

23350 Greenfield Rd Ste 215
Oak Park, MI 48237-2496

Mailing address

23350 Greenfield Rd Ste 215
Oak Park, MI 48237-2496

National Provider Directory

National Provider Directory

Locations

23350 Greenfield Rd
Ste 215
Oak Park, MI 48237
Phone (586) 996-4444

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1669167391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23350 GREENFIELD RD STE 215",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23350 GREENFIELD RD STE 215",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372496",
            "telephone_number": "586-996-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "DEHKO",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-996-4444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.