B3 Diagnostic Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

B3 DIAGNOSTIC LABORATORY, LLC

Practice address

1307 Allen Dr Ste a
Troy, MI 48083-4010

Phone

(888) 508-0561

Fax

(888) 398-1015

NPI assigned

Jun 12, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Robert M Bobbitt

Title

Managing Partner

Phone

(979) 820-2607

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1902287279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9197",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778429197",
            "telephone_number": "979-246-2020",
            "fax_number": "888-398-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 ALLEN DR STE A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834010",
            "telephone_number": "888-508-0561",
            "fax_number": "888-398-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B3 DIAGNOSTIC LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "BOBBITT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "979-820-2607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D2097180",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mouhib Ayas, MD
• Ayman Rayes, M.D., P.C.
• Matthew Ayotte
• Mariam Aziz
• Nada S. Aziz, M.D.
• Aisha Baban
• Ibtisam Babbie, LMSW, CAADC
• Charles Babini, PMHNP-BC
• Mathura Babu, M.D.
• Gijo Baby

• Clinical Medical Laboratory in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.