Organization Active NPI

Midwest Reference Labs LLC

  • Clinical Medical Laboratory
  • Spring Hill, TN
National Provider Identifier
1700204047
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MIDWEST REFERENCE LABS LLC
Practice address
2001 Campbell Station Pkwy
Suite C-1
Spring Hill, TN 37174-7417
Phone
(248) 619-9771
NPI assigned
Apr 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Nicholas Ernst
Title
Business Manager
Phone
(248) 619-9771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2001 Campbell Station Pkwy
Suite C-1
Spring Hill, TN 37174-7417

Mailing address

363 W Big Beaver Rd
Suite 200
Troy, MI 48084-5220

National Provider Directory

National Provider Directory

Locations

2001 Campbell Station Pkwy
Ste C1
Spring Hill, TN 37174
Phone (248) 619-9771

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1700204047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD",
            "address_2": "SUITE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CAMPBELL STATION PKWY",
            "address_2": "SUITE C-1",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371747417",
            "telephone_number": "248-619-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST REFERENCE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "ERNST",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "248-619-9771"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.