CATALYST DIAGNOSTIC LLC (NPI# 1023631595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023631595 |
| Entity Type | Organization |
| Organization Name | CATALYST DIAGNOSTIC LLC |
| Practice Address |
4942 Dawn Ave Ste 210 East Lansing MI 48823-5606 |
| Mailing Address |
1309 S Linden Rd Ste A Flint MI 48532-3443 |
| Practice Telephone | 5178853524 |
| Practice Fax Number | 5179404260 |
| Mailing Telephone | 5178853524 |
| Mailing Fax Number | 5179404260 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | DR. HISHAM IBRAHIM AHMED (CEO) |
| Authorized Official Telephone | 5178853524 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
4942 DAWN AVE STE 210 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295978054 | Michigan State University | Clinical Medical Laboratory | 1355 Bogue St Rm B228, East Lansing, MI 48824-6207 | 2009-04-09 |
| 1487780565 | Michigan State University | Clinical Medical Laboratory | B228 Life Sciences Bldg, East Lansing, MI 48824 | 2007-02-26 |
| 1629157979 | Board of Trustees of Michigan State University | Clinical Medical Laboratory | 1355 Bogue Street, Room B123, East Lansing, MI 48824-6239 | 2006-11-06 |
| 1144309642 | Board of Trustees of Michigan State University | Clinical Medical Laboratory | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2006-11-03 |
| 1417033556 | Michigan State University | Clinical Medical Laboratory | 804 Service Rd, Ste A203, East Lansing, MI 48824-7015 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726633 | Shores Diagnostic LLC | Clinical Medical Laboratory | 3611 Carpenter St Ste 6, Hamtramck, MI 48212-2784 | 2020-09-28 |
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1407466253 | Van Laan Industries Inc. | Clinical Medical Laboratory | 3414 Lovers Ln Ste A, Kalamazoo, MI 49001-4806 | 2020-08-06 |
| 1164049524 | Rapid Biosense LLC | Clinical Medical Laboratory | 46701 Commerce Center Dr, Plymouth, MI 48170-2475 | 2020-07-01 |
| 1467073460 | Lynx Dx Inc | Clinical Medical Laboratory | 333 Jackson Plz Ste 600, Ann Arbor, MI 48103-1922 | 2020-04-30 |
| 1184245219 | Olive Labs, Inc. | Clinical Medical Laboratory | 150 Livernois St, Ferndale, MI 48220-2302 | 2020-04-29 |
| 1720617947 | Covenant Pathology Associates, PC | Clinical Medical Laboratory | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-04-08 |
| 1134757339 | Vibra of Southeastern Michigan, LLC | Clinical Medical Laboratory | 1307-a Allen Drive, Troy, MI 48083-4010 | 2020-04-01 |
| 1972137560 | Functional Fluidics LLC | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-02-24 |
| 1023648938 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 4045 W 13 Mile Rd Ste A, Royal Oak, MI 48073-6640 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.