Organization Active NPI

Direct Path Services, P.C.

  • Clinical Medical Laboratory
  • Bingham Farms, MI
National Provider Identifier
1730511346
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
5101015559 Issued in MI
Legal business name
DIRECT PATH SERVICES, P.C.
Practice address
30200 Telegraph Rd
Suite 405
Bingham Farms, MI 48025-4502
Phone
(248) 220-4425
Fax
(248) 220-4428
NPI assigned
Aug 6, 2013
Last updated
Nov 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Dr. Christopher J Schwimer, D.O.NPI 1417918509
Title
President/Laboratory Director
Phone
(248) 220-4425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 5101015559 MI Primary

Addresses

Primary practice location

30200 Telegraph Rd
Suite 405
Bingham Farms, MI 48025-4502

Mailing address

30200 Telegraph Rd
Suite 405
Bingham Farms, MI 48025-4502
Phone (248) 220-4425

Other identifiers 2

IdentifierTypeStateIssuer
0H70792OtherMIBLUE CROSS BLUE SHEILD
1730511346MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131112002064 MI Part B Supplier - Independent Clinical Laboratory 3678709052 Practice locations: Bingham Farms, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2063166Direct Path Services, P C30200 Telegraph Road Suite 405, Bingham Farms, MI 48025ComplianceMay 21, 2028

National Provider Directory

National Provider Directory

Locations

30200 Telegraph Rd
Ste 405
Bingham Farms, MI 48025
Phone (248) 220-4425

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1730511346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE 405",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-220-4425",
            "fax_number": "248-220-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE 405",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-220-4425",
            "fax_number": "248-220-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PATH SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "SCHWIMER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "248-220-4425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "5101015559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0H70792",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730511346",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.