SPECIAL TREE LABORATORY SERVICE, LLC (NPI# 1629517701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629517701 |
Entity Type | Organization |
Organization Name | SPECIAL TREE LABORATORY SERVICE, LLC |
Practice Address |
10909 Hannan Rd Romulus MI 48174-1383 |
Practice Telephone | 7348931000 |
Mailing Telephone | 7348931000 |
Enumeration Date | 2017-02-22 |
Last Update Date | 2020-08-26 |
Authorized Official Name | IRENE SLOAN (COMPLIANCE ADMINISTRATOR) |
Authorized Official Telephone | 7348931014 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
Street Address |
10909 HANNAN RD |
City | ROMULUS |
State | MI |
Zip Code | 48174-1383 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295773281 | Special Tree Rehabilitation Services Ltd | Clinic/Center | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2006-06-03 |
1649877986 | Special Tree Rehabilitation Services Ltd | Residential Treatment Facility, Physical Disabilities | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2020-10-08 |
1306443742 | Special Tree Neuro Care Center | Clinic/Center | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2020-10-08 |
1922655869 | Emilie Herpick | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
1740837681 | Kristin Overweg Claerhout | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
1639620024 | Jessica Hurlston | Psychologist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2016-10-20 |
1346695202 | Southeast Michigan Physicians Group | Specialist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2016-04-28 |
1851790414 | Denise Farris | Technician, Pathology | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2014-08-20 |
1114330263 | Ursula Kotzabassi | Occupational Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2014-06-06 |
1114367737 | Susan Mclaren | Physician Assistant | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2013-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417447947 | Pamela Ann Kaczor | Nurse Practitioner | 28721 Northline Rd, Romulus, MI 48174 | 2018-05-10 |
1750806469 | Demetrius Kirk | Registered Nurse | 30075 Spain, Romulus, MI 48174 | 2017-08-03 |
1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
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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. |
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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.