NPIMap

Organization Active NPI

Hospital Consolidated Laboratories

  • Clinical Medical Laboratory
  • Southfield, MI
National Provider Identifier
1962475780
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HOSPITAL CONSOLIDATED LABORATORIES
Practice address
23775 Northwestern Hwy
Southfield, MI 48075-3338
Phone
(248) 355-9622
Fax
(248) 355-3557
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Barry R. Herschman, M.D.NPI 1932107901
Title
Laboratory Director
Phone
(248) 849-3266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MI Primary

Addresses

Primary practice location

23775 Northwestern Hwy
Southfield, MI 48075-3338

Mailing address

22255 Greenfield Rd
Suite #501
Southfield, MI 48075-3710
Phone (248) 226-6163

Other identifiers 3

IdentifierTypeStateIssuer
3348443MedicaidMI
690F3161000OtherMIBLUE CROSS BLUE SHIELD
3381519MedicaidMI

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

22255 Greenfield Rd
Ste 501
Southfield, MI 48075
Phone (248) 355-9622

23775 Northwestern Hwy
Southfield, MI 48075
Phone (248) 355-9622

Practitioners & affiliated clinicians

Practitioners 11

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": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1962475780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "address_2": "SUITE #501",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753710",
            "telephone_number": "248-226-6163",
            "fax_number": "248-424-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23775 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753338",
            "telephone_number": "248-355-9622",
            "fax_number": "248-355-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL CONSOLIDATED LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "HERSCHMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "248-849-3266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3348443",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "690F3161000",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3381519",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.