Luminescence Center of Michigan LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

LUMINESCENCE CENTER OF MICHIGAN LLC

Practice address

16085 Dix Toledo Rd
Southgate, MI 48195-2950

Phone

(734) 476-4849

NPI assigned

Aug 23, 2016

Last updated

Aug 23, 2016By 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

Noura Abdulkader

Title

Authorized Official

Phone

(734) 476-4849

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1952856650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16085 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952950",
            "telephone_number": "734-476-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16085 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952950",
            "telephone_number": "734-476-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINESCENCE CENTER OF MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "ABDULKADER",
        "authorized_official_first_name": "NOURA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "734-476-4849"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Loveland
• Collice Marie Loving
• Rosemary Bak Lowery, MS
• Raven Christine Luff
• Julia Luh
• Heather Lorraine Lunger
• Luxottica Retail North America Inc (Sears Optical at Kmart #C1273)
• Dawn Marie Lyons, R.N.
• Christine Marie Macquarrie, ACSW
• Saba Madhoun, PA

• Methadone Clinic in Southgate, MI
• Providers in Southgate, MI by specialty
• Methadone Clinic in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.