Organization Active NPI

Any Physicians Reference Laboratory LLC

  • Clinical Medical Laboratory
  • Southfield, MI
National Provider Identifier
1669786091
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
23D2009844 Issued in MI
Legal business name
ANY PHYSICIANS REFERENCE LABORATORY LLC
Practice address
24361 Greenfield Rd
Ste #209-a
Southfield, MI 48075-3139
Phone
(734) 421-6415
Fax
(734) 421-9087
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Mr. Mazhar Khan
Title
President
Phone
(734) 421-6415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 23D2009844 MI Primary

Addresses

Primary practice location

24361 Greenfield Rd
Ste #209-a
Southfield, MI 48075-3139

Mailing address

29771 Greenland St
Livonia, MI 48154-3225
Phone (734) 421-6415

National Provider Directory

National Provider Directory

Locations

24361 Greenfield Rd
Ste 209A
Southfield, MI 48075
Phone (248) 395-2203

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1669786091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29771 GREENLAND ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543225",
            "telephone_number": "734-421-6415",
            "fax_number": "734-421-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24361 GREENFIELD RD",
            "address_2": "STE #209-A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753139",
            "telephone_number": "734-421-6415",
            "fax_number": "734-421-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANY PHYSICIANS REFERENCE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MAZHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-421-6415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D2009844",
            "primary": true
        }
    ],
    "identifiers": [],
    "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, 2011; 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.