Orchard Laboratories Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ORCHARD LABORATORIES CORP

Doing business as

Orchard Toxicology

Practice address

7091 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48322-3654

Phone

(248) 419-0999

Fax

(866) 383-0999

NPI assigned

Dec 8, 2014

Last updated

Jun 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sami Ahmad

Title

President

Phone

(248) 808-3308

Specialties & licenses 1

Addresses

Other names 1

• Orchard Toxicology Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1932507969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7091 ORCHARD LAKE RD",
            "address_2": "SUITE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223654",
            "telephone_number": "248-419-0999",
            "fax_number": "866-383-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7091 ORCHARD LAKE RD",
            "address_2": "SUITE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223654",
            "telephone_number": "248-419-0999",
            "fax_number": "866-383-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD LABORATORIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-808-3308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Toxicology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jeffrey Sam Orow, PT
• Michael Robert Orozco

• Clinical Medical Laboratory in West Bloomfield, MI
• Providers in West Bloomfield, 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 Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.