NPIMap

Organization Active NPI

FDRS Diagnostics PLLC

  • Primary Care Clinic/Center
  • Livonia, MI
National Provider Identifier
1962837815
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301051672 Issued in MI
Legal business name
FDRS DIAGNOSTICS PLLC
Practice address
29150 Buckingham St
Suite 6 #101
Livonia, MI 48154-7502
Phone
(734) 207-9999
Fax
(734) 943-6009
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Frank Patino, M.D.
Title
Medical Director
Phone
(734) 207-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301051672 MI Primary

Addresses

Primary practice location

29150 Buckingham St
Suite 6 #101
Livonia, MI 48154-7502

Mailing address

29150 Buckingham St
Suite 6 #101
Livonia, MI 48154-7502
Phone (734) 207-9999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1962837815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29150 BUCKINGHAM ST",
            "address_2": "SUITE 6 #101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481547502",
            "telephone_number": "734-207-9999",
            "fax_number": "734-943-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29150 BUCKINGHAM ST",
            "address_2": "SUITE 6 #101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481547502",
            "telephone_number": "734-207-9999",
            "fax_number": "734-943-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDRS DIAGNOSTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "PATINO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "734-207-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301051672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.