Organization Active NPI

Veres Diagnostics, LTD

  • Clinical Medical Laboratory
  • Sterling Heights, MI
National Provider Identifier
1891889275
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
34275R Issued in MI
Legal business name
VERES DIAGNOSTICS, LTD
Practice address
11525 Brougham Dr
Sterling Heights, MI 48312-3709
Phone
(586) 939-4535
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alexei Vajenine, M.D.
Title
Medical Director
Phone
(586) 943-4081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 34275R MI Primary

Addresses

Primary practice location

11525 Brougham Dr
Sterling Heights, MI 48312-3709

Mailing address

35742 Kensington Ave
Sterling Heights, MI 48312-3776
Phone (586) 939-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216000355 MI Part B Supplier - Independent Clinical Laboratory 6103883608 Practice locations: Sterling Heights, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1031653Veres Diagnostics11525 Brougham Drive Suite 103, Sterling Heights, MI 48312AccreditationApr 20, 2027

National Provider Directory

National Provider Directory

Locations

11525 Brougham Dr
Sterling Heights, MI 48312
Phone (586) 939-4535

11525 Brougham Dr
Ste 103
Sterling Hts, MI 48312
Phone (586) 943-4081

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891889275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35742 KENSINGTON AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123776",
            "telephone_number": "586-939-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 BROUGHAM DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123709",
            "telephone_number": "586-939-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERES DIAGNOSTICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAJENINE",
        "authorized_official_first_name": "ALEXEI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "586-943-4081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "34275R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.