Organization Active NPI

Tambra Investments, Inc.

  • Physiological Laboratory
  • Warren, MI
National Provider Identifier
1730313289
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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

Updated by the provider on Dec 14, 2012

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090821000050 MI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3072667377 Practice locations: Madison Heights, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.