Access Diagnostic Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

JR219490 Issued in MI

Legal business name

ACCESS DIAGNOSTIC INC

Practice address

5575 Conner St
Detroit, MI 48213-6400

Phone

(313) 833-6388

NPI assigned

Jul 16, 2006

Last updated

Apr 20, 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

Jamie Rey

Title

Ceo

Phone

(313) 833-6388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1972520955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 CONNER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482136400",
            "telephone_number": "313-833-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 CONNER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482136400",
            "telephone_number": "313-833-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "REY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-833-6388"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "JR219490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Accordia Senior Services

• Clinical Medical Laboratory in Detroit, MI
• Providers in Detroit, 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 Apr 20, 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.