PHYSICIANS TOXICOLOGY LABORATORY, LLC (NPI# 1508169145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508169145 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS TOXICOLOGY LABORATORY, LLC |
| Other Organization Name | AFFIRMATOX, LLC |
| Practice Address |
4433 Manchester Rd. Kalamazoo MI 49001 |
| Mailing Address |
801 Laurel Oak Dr Ste. 102 Naples FL 34108-2748 |
| Practice Telephone | 2392131600 |
| Practice Fax Number | 2392131940 |
| Mailing Telephone | 2392131600 |
| Mailing Fax Number | 2392131940 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | MATTHEW RYAN LUND (PRESIDENT) |
| Authorized Official Telephone | 2392690035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | MI | Laboratories |
| Other Name | Type Code |
|---|---|
| Affirmatox, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639508757 | Physicians Toxicology Laboratory, LLC | Clinical Medical Laboratory | 5313 Johns Rd, Suite 201, Tampa, FL 33634-4484 | 2013-11-08 |
| Street Address |
4433 MANCHESTER RD. |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| 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 |
|---|---|---|---|---|
| 1407466253 | Van Laan Industries Inc. | Clinical Medical Laboratory | 3414 Lovers Ln Ste A, Kalamazoo, MI 49001-4806 | 2020-08-06 |
| 1366868267 | Weststar Medical, LLC | Clinical Medical Laboratory | 4717 Campus Dr, Kalamazoo, MI 49008-5601 | 2014-03-16 |
| 1770909319 | Genemarkers LLC | Clinical Medical Laboratory | 126 E South St, Kalamazoo, MI 49007-4810 | 2014-03-06 |
| 1710221478 | Baruch Sls Inc | Clinical Medical Laboratory | 4222 S Westnedge Ave, Kalamazoo, MI 49008-3208 | 2012-11-19 |
| 1023269313 | Forensic Fluids Laboratories Inc. | Clinical Medical Laboratory | 225 Parsons St, Kalamazoo, MI 49007-3597 | 2008-10-04 |
| 1811338643 | Laboratory Corporation of America | Clinical Medical Laboratory | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2013-07-09 |
| 1639407786 | Western Michigan University | Clinical Medical Laboratory | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2009-12-01 |
| 1144375619 | Healthcare Midwest PC | Clinical Medical Laboratory | 601 John St, Suite M-170, Kalamazoo, MI 49007-5341 | 2007-01-24 |
| 1467470492 | Western Michigan University | Clinical Medical Laboratory | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2006-07-17 |
| 1548243595 | Patholgy Services of Kalamazoo, PC | Clinical Medical Laboratory | 601 John St, Kalamazoo, MI 49007-5341 | 2005-11-23 |
| Find all providers in KALAMAZOO | ||||
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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.