Flint Medical Laboratory Incorporated

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2052 Issued in MI

Legal business name

FLINT MEDICAL LABORATORY INCORPORATED

Practice address

3490 Calkins Rd
Flint, MI 48532-3506

Phone

(810) 733-8885

Fax

(810) 733-8885

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Chrys Roselli

Title

Business Manager

Phone

(810) 733-8885

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1760590665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 CALKINS RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323506",
            "telephone_number": "810-733-8885",
            "fax_number": "810-733-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 CALKINS RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323506",
            "telephone_number": "810-733-8885",
            "fax_number": "810-733-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT MEDICAL LABORATORY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "ROSELLI",
        "authorized_official_first_name": "CHRYS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "810-733-8885",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "2052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760590665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flint Family Pharmacy LLC (Family Pharmacy)
• Flint Foot & Ankle PLLC (Clio Foot & Ankle)
• Flint Fresh Mobile Market
• Flint Institute of Music
• Flint Mass Transportation Authority
• Flint Neonatology, P.C.
• Flint Neurological Centre PC
• Flint Neuroscience Center, PLLC (Neurology Division)
• Flint Neuroscience Center, PLLC (Great Lakes Spine Center)
• Flint Neuroscience Center, PLLC

• Clinical Medical Laboratory in Flint, MI
• Providers in Flint, 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 Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.