Mnourn PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MNOURN PC

Practice address

30700 Telegraph Rd Ste 1536
Bingham Farms, MI 48025-4590

Phone

(248) 215-0048

NPI assigned

Jul 1, 2018

Organization subpart

No

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

Authorized official

Name

Diana El Masri

Title

Billing Manager

Phone

(248) 215-0048

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530403200000",
    "number": "1689169708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 1536",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254590",
            "telephone_number": "248-215-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 1536",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254590",
            "telephone_number": "248-215-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNOURN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-01",
        "last_updated": "2018-07-01",
        "status": "A",
        "authorized_official_last_name": "EL MASRI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "248-215-0048"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2018; 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.