International Cryogenics, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D0362829 Issued in MI

Legal business name

INTERNATIONAL CRYOGENICS, INC.

Practice address

32121 Woodward Ave
Suite 205
Royal Oak, MI 48073-6237

Phone

(248) 397-8449

Fax

(248) 397-8392

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mary Ann Brown

Title

Director

Phone

(248) 397-8449

Specialties & licenses 1

Addresses

Other names 1

• Michigan Sperm Bank Other name

Locations

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1861693079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32121 WOODWARD AVE",
            "address_2": "SUITE 205",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736237",
            "telephone_number": "248-397-8449",
            "fax_number": "248-397-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32121 WOODWARD AVE",
            "address_2": "SUITE 205",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736237",
            "telephone_number": "248-397-8449",
            "fax_number": "248-397-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL CRYOGENICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-397-8449",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D0362829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Sperm Bank",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Royal Oak, MI
• Providers in Royal Oak, 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 Sep 21, 2015; 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.