NPIMap

Organization Active NPI

City Medical PC

  • Clinical Medical Laboratory
  • Madison HTS, MI
National Provider Identifier
1770717027
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
23D1010918 Issued in MI
Legal business name
CITY MEDICAL PC
Practice address
30581 Stephenson Hwy
Madison HTS, MI 48071-1610
Phone
(248) 589-1770
Fax
(248) 589-2838
NPI assigned
May 14, 2009
Last updated
May 14, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY MEDICAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Thomas M Pinson, DONPI 1326021262
Title
Laboratory Director
Phone
(734) 283-2262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 23D1010918 MI Primary

Addresses

Primary practice location

30581 Stephenson Hwy
Madison HTS, MI 48071-1610

Mailing address

13636 Dix Toledo Rd
Southgate, MI 48195-2432
Phone (734) 283-2262

Other identifiers 1

IdentifierTypeStateIssuer
23D1010918OtherMICLIA CERTIFICATE OF ACCREDITATION

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
23D1010918City Medical30581 Stephenson Hwy, Madison Heights, MI 48071RegistrationOct 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
City Medical2 organizations share this tax ID, including this one
Part of
City Medical

Other organizations with this tax ID 1

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

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": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1770717027",
    "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": "30581 STEPHENSON HWY",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480711610",
            "telephone_number": "248-589-1770",
            "fax_number": "248-589-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY MEDICAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY MEDICAL PC",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1010918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF ACCREDITATION",
            "identifier": "23D1010918",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison HTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.