Detroit Visiting Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DETROIT VISITING LABORATORY INC

Practice address

16989 Farmington Rd
Livonia, MI 48154-2946

Phone

(734) 421-0900

Fax

(734) 421-0700

NPI assigned

Feb 26, 2008

Last updated

Oct 29, 2008By 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

Dr. Fares Yasin, M.D.

Title

Ceo/President

Phone

(734) 421-0900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1962671834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16989 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542946",
            "telephone_number": "734-421-0900",
            "fax_number": "734-421-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16989 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542946",
            "telephone_number": "734-421-0900",
            "fax_number": "734-421-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT VISITING LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "FARES",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "734-421-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Desloover, NP
• Derek George Desouza, MD
• Destined Home Health Care LLC
• Detroit Home Health Services Inc
• Detroit Visiting Diagnostics Inc
• Detroit Visiting Physicians Therapeutics, P.C.
• Detroit Visiting Transportation, Inc.
• Amy Devellis
• Kaila Devers
• Dana Devine, TLLP

• Clinical Medical Laboratory in Livonia, MI
• Providers in Livonia, 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 Oct 29, 2008; 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.