Organization Active NPI

Integrity Health Lab LLC

  • Clinical Medical Laboratory
  • Madison Heights, MI
National Provider Identifier
1750192886
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INTEGRITY HEALTH LAB LLC
Practice address
370 E 12 Mile Rd Ste 203
Madison Heights, MI 48071-2500
Phone
(248) 771-2200
Fax
(248) 771-2201
NPI assigned
Jan 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Nidal Hammoud, MD
Title
Owner
Phone
(248) 771-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

370 E 12 Mile Rd Ste 203
Madison Heights, MI 48071-2500

Mailing address

370 E 12 Mile Rd Ste 203
Madison Heights, MI 48071-2500
Phone (248) 771-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250214002635 MI Part B Supplier - Independent Clinical Laboratory 6002346327 Practice locations: Madison Heights, 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
23D2310403Integrity Health Lab LLC370 E 12 Mile Road Suite 203, Madison Heights, MI 48071AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

370 E 12 Mile Rd
Ste 203
Madison Heights, MI 48071
Phone (248) 399-4223

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": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1750192886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E 12 MILE RD STE 203",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712500",
            "telephone_number": "248-771-2200",
            "fax_number": "248-771-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E 12 MILE RD STE 203",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712500",
            "telephone_number": "248-771-2200",
            "fax_number": "248-771-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HEALTH LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-771-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.