Apollo Diagnostics Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

APOLLO DIAGNOSTICS LABORATORY INC

Practice address

21999 Farmington Rd
Suite 100
Farmington Hills, MI 48336-4400

Phone

(248) 615-3100

Fax

(248) 615-0136

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Bassam Mansoor

Title

Owner

Phone

(248) 615-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1710237870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21999 FARMINGTON RD",
            "address_2": "SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364400",
            "telephone_number": "248-615-3100",
            "fax_number": "248-615-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21999 FARMINGTON RD",
            "address_2": "SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364400",
            "telephone_number": "248-615-3100",
            "fax_number": "248-615-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO DIAGNOSTICS LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "MANSOOR",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-615-3100"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "291U00000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corrine Apodaca
• Natalie Apodaca
• Samantha Apodaca
• Desiree Apodoca
• Danielle Apolinar
• Apollo Home Health Care, Inc.
• Yana Apostalon
• Miranda Applebach
• Shoshana Applebaum
• Noelle Appleton

• Clinical Medical Laboratory in Farmington Hills, MI
• Providers in Farmington Hills, 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 Sep 17, 2012; 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.