Heritage Labs, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HERITAGE LABS, INC.

Doing business as

ION Diagnostics Laboratories

Practice address

30600 Telegraph Rd Ste 1375
Bingham Farms, MI 48025-4589

Phone

(248) 720-4080

Fax

(248) 712-6100

NPI assigned

May 6, 2018

Organization subpart

No

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

Authorized official

Name

Nameer Kiminaia

Title

Coo

Phone

(248) 720-4080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ION Diagnostics Laboratories Doing business as

Medicare fee-for-service enrollment

Enrolled in MI, IL2 enrollments

Enrollment records 2

Tax ID family

Heritage Labs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Heritage Labs, Inc.

  dba Ion Diagnostics Laboratories

  • Clinical Medical Laboratory
  • Bingham Farms, MI
  • NPI 1154197374
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher J Michaud, PHARMD, BCCCP, BCPS

  • Critical Care Pharmacist
  • Kentwood, MI
  • NPI 1518614130
  NPD

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

{
    "created_epoch": "1525564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1790274678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 1375",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254589",
            "telephone_number": "248-720-4080",
            "fax_number": "248-712-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 1375",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254589",
            "telephone_number": "248-720-4080",
            "fax_number": "248-712-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE LABS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-06",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "KIMINAIA",
        "authorized_official_first_name": "NAMEER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "248-720-4080"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790274678",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ION Diagnostics Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ION Diagnostics Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Michelle Henry
• Marnise Renee Henry
• Shelby Lynn Hensley
• Emily Herbon, RD
• Heritage Labs, Inc. (Ion Diagnostics Laboratories)
• Raquel Hernandez-Snyder
• Kassandra Hernandez
• Heron Ridge Associates PLC
• Heron Ridge Associates, PLC
• Troy Ray Herrick-Thomason

• Clinical Medical Laboratory in Bingham Farms, MI
• Providers in Bingham Farms, 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 Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.