Active NPI
Tambra Investments, Inc.
- Physiological Laboratory
- Warren, MI
National Provider Identifier
1730313289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- TAMBRA INVESTMENTS, INC.
- Doing business as
- Real-Time Diagnostics
- Practice address
- 23247 Pinewood St
Warren, MI 48091-4754 - Phone
- (866) 662-7897
- Fax
- (586) 757-1972
- NPI assigned
- May 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael D Evans
- Title
- Ceo
- Phone
- (586) 501-1021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
23247 Pinewood St
Warren, MI 48091-4754
Mailing address
23247 Pinewood St
Warren, MI 48091-4754
Phone (866) 662-7897
Other names 1
- Real-Time Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090821000050 | MI | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3072667377 | Practice locations: Madison Heights, MI |
National Provider Directory
National Provider DirectoryLocations
25211 Dequindre Rd
Madison Hts, MI 48071
Phone (586) 427-4537
5523 E 9 Mile Rd
Warren, MI 48091
Phone (866) 662-7897
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1275611667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355443200000",
"number": "1730313289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23247 PINEWOOD ST",
"city": "WARREN",
"state": "MI",
"postal_code": "480914754",
"telephone_number": "866-662-7897",
"fax_number": "586-757-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23247 PINEWOOD ST",
"city": "WARREN",
"state": "MI",
"postal_code": "480914754",
"telephone_number": "866-662-7897",
"fax_number": "586-757-1972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMBRA INVESTMENTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-13",
"last_updated": "2012-12-14",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "586-501-1021",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Real-Time Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.