Michael O Oyerinde, PH.D.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

031-039 Issued in GA

Practice address

2759 Mount Zion Pkwy
Suite a/B
Jonesboro, GA 30236-2568

Phone

(678) 262-8441

Fax

(770) 471-8441

NPI assigned

Mar 26, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Covenant Medical Diagnostics

  • Clinical Medical Laboratory
  • Jonesboro, GA
  • NPI 1043448392
  NPD (past) Authorized official

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1710129465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 MOUNT ZION PKWY",
            "address_2": "SUITE A/B",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362568",
            "telephone_number": "678-262-8441",
            "fax_number": "770-471-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 MOUNT ZION PKWY",
            "address_2": "SUITE A/B",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362568",
            "telephone_number": "678-262-8441",
            "fax_number": "770-471-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYERINDE",
        "first_name": "MICHAEL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "031-039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "031-039",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Out of the Woods LLC
• Valeda Ann Overton
• Nancy T Ovitt, LCSW
• Sylvia Owens, DC
• Oxygen-Medical Equipment & Supplies
• P'S Unique Service Inc.
• Wenesha Pace Pace, PHARMD
• John Packer, D.C.
• Robert L Pafford, FNP-C
• Hyung Pak, D.C.

• Clinical Medical Laboratory in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.