Inform Diagnostics, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INFORM DIAGNOSTICS, INC

Practice address

13854 Lakeside Cir
Sterling Heights, MI 48313-1316

Phone

(586) 685-3102

NPI assigned

May 22, 2014

Organization subpart

No

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

Authorized official

Name

Dana Arlene Simonds

Title

SVP, Compliance, Ethics & Quality

Phone

(214) 277-8700

Specialties & licenses 2

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fulgent Therapeutics, LLC.

  • Clinical Medical Laboratory
  • El Monte, CA
  • NPI 1174964738

  Member Of

  NPD member

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1821400920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 N MACARTHUR BLVD",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13854 LAKESIDE CIR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131316",
            "telephone_number": "586-685-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFORM DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "SIMONDS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "SVP, COMPLIANCE, ETHICS & QUALITY",
        "authorized_official_telephone_number": "214-277-8700"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Sterling Heights, MI
• Providers in Sterling Heights, 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 Oct 28, 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.