Divine Diagnostic Company

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

DIVINE DIAGNOSTIC COMPANY

Practice address

5005 E 14 Mile Rd Ste 100
Sterling Heights, MI 48310-6533

Phone

(586) 795-3815

Fax

(586) 620-6062

NPI assigned

Sep 1, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Suha Alaka

Title

Owner/Ceo

Phone

(586) 713-8397

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1881901668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 E 14 MILE RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106533",
            "telephone_number": "586-795-3815",
            "fax_number": "586-620-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 E 14 MILE RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106533",
            "telephone_number": "586-795-3815",
            "fax_number": "586-620-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DIAGNOSTIC COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "ALAKA",
        "authorized_official_first_name": "SUHA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "586-713-8397",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0E03743",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881901668",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ermira Dinkollari, FNP-BC
• Gordhan G Diora, MD
• Frank A Diponio Jr., DO
• Cynthia Kay Disbrow, LBSW
• Grace Dishow
• Divine Mercy Home Health Services Inc
• Divine Rehab Services Inc
• Alana Divitto
• Jagannadharao Divvela, MD
• Devin Dixon

• Point of Service in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Point of Service in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.