Quest Diagnostics Incorporated Mi

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUEST DIAGNOSTICS INCORPORATED MI

Practice address

4045 W 13 Mile Rd
Royal Oak, MI 48073-6640

Phone

(248) 288-2160

NPI assigned

Apr 30, 2014

Organization subpart

Yes

Parent organization

QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

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

Authorized official

Name

J Pablo Lake

Title

VP of Revenue Services

Phone

(484) 676-7000

Specialties & licenses 1

Addresses

Part of

Questdiagnost Ic Inc

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• M Said Albeiruti, MD

  • Cytopathology Physician
  • Grandville, MI
  • NPI 1871589606
  NPD (past)
• Sarah Decker, PA-C

  • Physician Assistant
  • Royal Oak, MI
  • NPI 1609431410
  NPD (past)
• Winston Myint Htwe, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Farmington Hills, MI
  • NPI 1922310358
  NPD (past)
• John W Kitzmiller, MD

  • Addiction Medicine (Family Medicine) Physician
  • Lake Orion, MI
  • NPI 1811988504
  NPD (past)
• Tynise La'Shaie Penn, N.P.

  • Nurse Practitioner
  • Southfield, MI
  • NPI 1073841011
  NPD (past)

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1689084667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ADAMS AVE",
            "address_2": "MRGOV 2ND FLOOR",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194032429",
            "telephone_number": "484-676-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736640",
            "telephone_number": "248-288-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS INCORPORATED MI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "J PABLO",
        "authorized_official_title_or_position": "VP OF REVENUE SERVICES",
        "authorized_official_telephone_number": "484-676-7000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhenhong Qu, MD PHD
• Samantha Faith Quail, PHARMD
• Quantum Chiropractic and Massage PLLC
• Quantum Chiropractic and Massage PLLC
• Quest Diagnostics Clinical Laboratories Inc
• Lauren Quick, PA
• Mackenzie Quigley
• Sandra Ann Quigley, MSW
• Kelly Quinlan, DNP, FNP
• Ashley Quinn, LLMSW

• Clinical Medical Laboratory in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.