Amonique Elizabeth Suber, LPN

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

R2L6G7J3 Issued in MI

Practice address

19130 Appleton St
Detroit, MI 48219-5612

Phone

(586) 444-9472

NPI assigned

May 10, 2021

Last updated

Dec 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1871177527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480660226",
            "telephone_number": "586-444-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19130 APPLETON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482195612",
            "telephone_number": "586-444-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBER",
        "first_name": "AMONIQUE",
        "middle_name": "ELIZABETH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703120460",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MI",
            "license": "R2L6G7J3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Renee Su, MD
• Xinjie Su, DO
• Ray Firmeza Suante
• Arturo Suarez, M.D
• Natasha Subbarao, DO
• Janice Suber
• Walter Suber VI, CPRC
• Subira's Helping Hands LLC.
• Shruthi Subramanian, MD
• Success Therapy Services

• Phlebotomy Technician in Detroit, MI
• Providers in Detroit, MI by specialty
• Phlebotomy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.