EPIC MEDICAL LAB PLLC (NPI# 1013313766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013313766 |
| Entity Type | Organization |
| Organization Name | EPIC MEDICAL LAB PLLC |
| Practice Address |
911 E 9 Mile Rd Ferndale MI 48220-1934 |
| Mailing Address |
390 Enterprise Ct Ste 100 Bloomfield Hills MI 48302-0320 |
| Practice Telephone | 2483364000 |
| Practice Fax Number | 2482918753 |
| Mailing Telephone | 2483364000 |
| Mailing Fax Number | 2482918753 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |
| Authorized Official Name | DR. GREG NAMAN (MEMBER) |
| Authorized Official Telephone | 2483364000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
911 E 9 MILE RD |
| City | FERNDALE |
| State | MI |
| Zip Code | 48220-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104815232 | Robert C Levine | Family Medicine | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2005-10-20 |
| 1760013247 | Sphere Health Pllc | Clinic/Center | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2020-02-03 |
| 1497392005 | Kristin Nicole Iannotti | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-12-02 |
| 1396393856 | Sphere Orthopedics and Regenerative Health Pllc | Clinic/Center | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-08-28 |
| 1821551680 | Scott Edward Garavaglia | Physical Therapist | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-04-09 |
| 1790248821 | Frank Zuziak | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-04-06 |
| 1447720669 | Marilyn Nah Ngundam | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2018-11-30 |
| 1134610207 | Deena Chabaan | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2018-05-24 |
| 1417478025 | Jennifer Balint | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-07-05 |
| 1780111575 | Amber Sarah Kalabat | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428960 | Jennifer Guglielmi | Case Manager/Care Coordinator | Community Living Services, Kent County Division, 642 East Nine Mile Road, Ferndale, MI 48220 | 2019-07-16 |
| 1750876439 | Kathryn Pozniak | Counselor | 3136 Hilton Rd, Ferndale, MI 48220 | 2018-06-26 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1790294213 | Essential Healing LLC | Home Health | 1929 Almont St, Ferndale, MI 48220 | 2017-09-27 |
| 1629599220 | Gifted Hands Care Services LLC. | Home Health Aide | 1825 E. Troy, Ferndale, MI 48220 | 2017-07-05 |
| 1538609409 | Andrew Spitzer | Nurse Practitioner | 261 W 9 Mile Rd Apt 301, Ferndale, MI 48220 | 2017-02-27 |
| 1598211914 | Samantha Marie Vann | Technician, Other | 2147 Moorehouse, Ferndale, MI 48220 | 2016-08-26 |
| 1174981963 | Kelsey Rose Orlando | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220 | 2016-02-08 |
| 1598123747 | Marlene O. Joshi | Counselor | 1538 Leroy St, Ferndale, MI 48220 | 2016-02-03 |
| 1245608892 | Michael Tocco | Acupuncturist | 3055 Hilton Rd Ste B, Ferndale, MI 48220 | 2015-09-11 |
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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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| 1093022253 | Laboratory Corporation of America | Clinical Medical Laboratory | 1815 Main St, Ferndale, WA 98248-9454 | 2010-09-09 |
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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.