Active NPI
Itest Health PLC
- Family Medicine Physician
- Livonia, MI
National Provider Identifier
1992478382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ITEST HEALTH PLC
- Practice address
- 14700 Farmington Rd Ste 105
Livonia, MI 48154-5434 - Phone
- (248) 330-7098
- NPI assigned
- Jul 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bashar Yalldo, MD
- Title
- Owner
- Phone
- (248) 212-0446
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
14700 Farmington Rd Ste 105
Livonia, MI 48154-5434
Mailing address
12740 W Warren Ave Ste 200
Dearborn, MI 48126-4530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14700 Farmington Rd
Ste 105
Livonia, MI 48154
Phone (248) 330-7098
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Howell, MI
- NPI 1891133575
-
- Family Medicine Physician
- South Lyon, MI
- NPI 1669476933
-
- Family Medicine Physician
- Farmington Hills, MI
- NPI 1831533645
-
- Physician Assistant
- Livonia, MI
- NPI 1528770070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652659200000",
"number": "1992478382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12740 W WARREN AVE STE 200",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 FARMINGTON RD STE 105",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545434",
"telephone_number": "248-330-7098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ITEST HEALTH PLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-30",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A",
"authorized_official_last_name": "YALLDO",
"authorized_official_first_name": "BASHAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-212-0446",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"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 May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.