Future Diagnostic Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FUTURE DIAGNOSTIC CENTER

Practice address

4619 Allen Rd
Allen Park, MI 48101-2765

Phone

(313) 656-1199

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Anwar Baker

Title

Owner

Phone

(248) 505-4890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1790259307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012765",
            "telephone_number": "313-656-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-505-4890"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Allen Park, MI
• Providers in Allen Park, 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 7, 2019; 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.