PEGASUS DIAGNOSTICS INC (NPI# 1730693821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730693821 |
| Entity Type | Organization |
| Organization Name | PEGASUS DIAGNOSTICS INC |
| Practice Address |
3686 Brandi Dr Sterling Heights MI 48310 |
| Mailing Address |
3686 Brandi Dr Sterling Heights MI 48310-2538 |
| Practice Telephone | 3133123932 |
| Mailing Telephone | 3133123932 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | TUFIQUL ISLAM (PRESIDENT/CEO) |
| Authorized Official Telephone | 3133123932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
3686 BRANDI DR |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299964 | Pegasus Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3686 Brandi Dr, Sterling Heights, MI 48310-2538 | 2017-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
| 1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
| 1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
| 1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
| Find all providers in zip 48310 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378145 | Preventive Healthcare Technologies LLC | Physiological Laboratory | 29560 Beck Rd, Wixom, MI 48393-2883 | 2020-05-28 |
| 1356960025 | Vali Medical, LLC | Physiological Laboratory | 231 Willits Alley, Birmingham, MI 48009-3338 | 2020-04-13 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1609209006 | Insight Diagnostics LLC | Physiological Laboratory | 17000 Executive Drive Suite B, Dearborn, MI 48126 | 2013-08-21 |
| 1063754323 | Clearpath Diagnostics LLC | Physiological Laboratory | 25354 Evergreen Rd, Southfield, MI 48075-1776 | 2013-03-25 |
| 1134262140 | Romeo Sleep Center, LLC | Physiological Laboratory | 67150 Van Dyke, #150, Washington, MI 48095 | 2007-02-15 |
| 1427149418 | Auburn Hills Sleep Center, LLC | Physiological Laboratory | 2059 N Monroe St, Suite B1a, Monroe, MI 48162-5353 | 2006-09-27 |
| 1457897019 | Mercy Mobile Services LLC | Physiological Laboratory | 5961 Perrytown Ct, W Bloomfield, MI 48322-1502 | 2017-01-06 |
| 1902269269 | Globalmed Diagnostics Inc | Physiological Laboratory | 17330 Northland Park Ct, Suite 203c, Southfield, MI 48075-4318 | 2016-04-03 |
| 1891154837 | Braincare, LLC | Physiological Laboratory | 3200 Greenfield Rd, Ste 317, Dearborn, MI 48120-1802 | 2016-02-18 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48310 |
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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.