City Medical

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D0998952 Issued in MI

Legal business name

CITY MEDICAL

Practice address

13636 Dix Toledo Rd
Southgate, MI 48195-2432

Phone

(734) 283-2262

Fax

(734) 283-8121

NPI assigned

May 15, 2009

Organization subpart

Yes

Parent organization

CITY MEDICAL PCAs reported in NPPES

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

Authorized official

Name

Thomas M Pinson, DO

Title

Laboratory Director

Phone

(734) 283-2262

Specialties & licenses 2

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Tax ID family

City Medical PC2 organizations share this tax ID, including this one

Part of

City Medical PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City Medical PC

  • Clinical Medical Laboratory
  • Madison HTS, MI
  • NPI 1770717027
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20501/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1740415082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952432",
            "telephone_number": "734-283-2262",
            "fax_number": "734-283-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952432",
            "telephone_number": "734-283-2262",
            "fax_number": "734-283-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY MEDICAL PC",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "PINSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "734-283-2262",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009701",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D0998952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF COMPLIANCE",
            "identifier": "23D0998952",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chrysalis
• Deborah Chuhran-Cash
• Diane Ciesielski
• Donald Ray Cisco Jr., B.A. S.S.T.
• Lindsey Cisse, LMSW
• City Medical Chiropractic PLLC
• City Medical P C
• City of Southgate
• Charlotte Clapham, BSW
• Amanda Clark

• Clinical Medical Laboratory in Southgate, MI
• Providers in Southgate, 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 May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.