Active NPI
Epic Health Independent Lab PLLC
- Clinical Medical Laboratory
- Ferndale, MI
National Provider Identifier
1679356315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- EPIC HEALTH INDEPENDENT LAB PLLC
- Practice address
- 911 E 9 Mile Rd
Ferndale, MI 48220-1934 - Phone
- (248) 336-4000
- Fax
- (248) 336-9137
- NPI assigned
- Aug 16, 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
- Greg Naman, MD
- Title
- Managing Member
- Phone
- (248) 336-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
911 E 9 Mile Rd
Ferndale, MI 48220-1934
Mailing address
18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1679356315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 W 9 MILE RD STE 200",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E 9 MILE RD",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201934",
"telephone_number": "248-336-4000",
"fax_number": "248-336-9137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPIC HEALTH INDEPENDENT LAB PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "NAMAN",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "248-336-4000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.