DIAGNOSTIC HEMATOLOGY, PC


Address: 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034
Phone: 2484503179

DIAGNOSTIC HEMATOLOGY, PC (NPI# 1063924819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063924819
Entity Type Organization
Organization Name DIAGNOSTIC HEMATOLOGY, PC
Practice Address 24725 W. Twelve Mile Road
Suite 118
Southfield
MI 48034
Mailing Address 24725 W. Twelve Mile Road
Southfield
MI 48034
Practice Telephone 2484503179
Practice Fax Number 2483276030
Mailing Telephone 2484503179
Mailing Fax Number 2483276030
Enumeration Date 2017-11-02
Last Update Date 2018-01-10
Authorized Official Name MOE BADREDDINE (ADMINSTRATION)
Authorized Official Telephone 2484503179
Authorized Official Credential ASCP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Office Location

Street Address 24725 W. TWELVE MILE ROAD
SUITE 118
City SOUTHFIELD
State MI
Zip Code 48034

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

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1417316100 Quantum Labs Clinical Medical Laboratory 24555 Southfield Rd Ste L-70, Southfield, MI 48075-2738 2016-02-23
1346611092 Biotox Laboratory, LLC Clinical Medical Laboratory 18161 W. 13 Mile Rd, Suite D3, Southfield, MI 48076 2015-10-07
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Competitor

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City SOUTHFIELD
Zip Code 48034

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Dataset Information

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.

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