Organization Active NPI

In Home Diagnostics LLC

  • Vascular Specialist/Technologist Cardiovascular
  • Southfield, MI
National Provider Identifier
1871548495
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X
Legal business name
IN HOME DIAGNOSTICS LLC
Practice address
24450 Evergreen Rd
Suite 200
Southfield, MI 48075-5518
Phone
(248) 352-7071
Fax
(248) 485-6535
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
David Evans
Title
Ceo
Phone
(248) 352-7071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2903X Primary

Addresses

Primary practice location

24450 Evergreen Rd
Suite 200
Southfield, MI 48075-5518

Mailing address

3319 N. Elston Ave.
Suite 116
Chicago, IL 60618-5811
Phone (248) 352-7071

Other identifiers 2

IdentifierTypeStateIssuer
P00440207OtherMIRRMCR GROUP PIN
1871548495OtherMINPI

Other names 1

  • Ultrasound 2 You Doing business as

National Provider Directory

National Provider Directory

Locations

1229 N North Branch St
Ste 109
Chicago, IL 60642

3319 N Elston Ave
Ste 116
Chicago, IL 60618
Phone (773) 751-7325

24450 Evergreen Rd
Ste 200
Southfield, MI 48075
Phone (248) 352-7071

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1871548495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 N. ELSTON AVE.",
            "address_2": "SUITE 116",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185811",
            "telephone_number": "248-352-7071",
            "fax_number": "248-485-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24450 EVERGREEN RD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755518",
            "telephone_number": "248-352-7071",
            "fax_number": "248-485-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-352-7071"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR GROUP PIN",
            "identifier": "P00440207",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871548495",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultrasound 2 You",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.