Organization Active NPI

Pinnacle Gi Lab LLC

  • Clinical Medical Laboratory
  • Troy, MI
National Provider Identifier
1922828607
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PINNACLE GI LAB LLC
Practice address
4600 Investment Dr Ste 360a
Troy, MI 48098-6368
Phone
(248) 307-7024
Fax
(248) 312-4683
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Jennifer McDonald
Title
Business Manager
Phone
(517) 528-6982

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0101X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4600 Investment Dr Ste 360a
Troy, MI 48098-6368

Mailing address

50438 Van Dyke Ave
Shelby Township, MI 48317-1358
Phone (517) 273-4695

Other practice location 1

30150 Telegraph Rd Ste 112
Bingham Farms, MI 48025-4549
Phone (248) 884-9710

Other practice location 2

1701 South Blvd E Ste 300
Rochester Hills, MI 48307-6120
Phone (517) 273-4695

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
23D2314836Pinnacle Gi Lab LLC4600 Investment Drive Suite 360 a, Troy, MI 48098AccreditationJul 21, 2027

National Provider Directory

National Provider Directory

Locations

30150 Telegraph Rd
Ste 112
Bingham Farms, MI 48025
Phone (248) 274-6508

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

4600 Investment Dr
Ste 360A
Troy, MI 48098
Phone (248) 307-7024

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1922828607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50438 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483171358",
            "telephone_number": "517-273-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 INVESTMENT DR STE 360A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986368",
            "telephone_number": "248-307-7024",
            "fax_number": "248-312-4683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30150 Telegraph Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254549",
            "country_code": "US",
            "telephone_number": "248-884-9710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 South Blvd E Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483076120",
            "country_code": "US",
            "telephone_number": "517-273-4695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE GI LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "517-528-6982"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.