Active NPI
Veres Diagnostics, LTD
- Clinical Medical Laboratory
- Sterling Heights, MI
National Provider Identifier
1891889275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 34275R
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041216000355 | MI | Part B Supplier - Independent Clinical Laboratory | 6103883608 | Practice locations: Sterling Heights, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1031653 | Veres Diagnostics | Accreditation | Apr 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.