NPIMap

Organization Active NPI

DMC University Laboratories

  • Clinical Medical Laboratory
  • Detroit, MI
National Provider Identifier
1871776211
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DMC UNIVERSITY LABORATORIES
Practice address
4707 Saint Antoine St
Detroit, MI 48201-1427
Phone
(313) 745-2525
Fax
(313) 745-9661
NPI assigned
Dec 7, 2007
Organization subpart
Yes
Parent organization
DMC UNIVERSITY LABORATORIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Wael A Sakr, MD
Title
Laboratory Director
Phone
(313) 745-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MI Primary

Addresses

Primary practice location

4707 Saint Antoine St
Detroit, MI 48201-1427

Mailing address

4707 Saint Antoine St
Detroit, MI 48201-1427
Phone (313) 745-2525

Other identifiers 1

IdentifierTypeStateIssuer
2913606MedicaidMI

Other names 1

  • ANATOMIC PATHOLOGY Other name

National Provider Directory

National Provider Directory
Tax ID family
DMC University Laboratories12 organizations share this tax ID, including this one
Part of
DMC University Laboratories

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1871776211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011427",
            "telephone_number": "313-745-2525",
            "fax_number": "313-745-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011427",
            "telephone_number": "313-745-2525",
            "fax_number": "313-745-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMC UNIVERSITY LABORATORIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DMC UNIVERSITY LABORATORIES",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "SAKR",
        "authorized_official_first_name": "WAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "313-745-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2913606",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANATOMIC PATHOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.