Active NPI
Any Physicians Reference Laboratory LLC
- Clinical Medical Laboratory
- Southfield, MI
National Provider Identifier
1669786091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 23D2009844
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.