Active NPI
Greenfield Labs LLC
- Clinical Medical Laboratory
- Oak Park, MI
National Provider Identifier
1669167391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.