CLEARPATH DIAGNOSTICS LLC (NPI# 1063754323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063754323 |
| Entity Type | Organization |
| Organization Name | CLEARPATH DIAGNOSTICS LLC |
| Practice Address |
25354 Evergreen Rd Southfield MI 48075-1776 |
| Practice Telephone | 2484021222 |
| Mailing Telephone | 2484021222 |
| Mailing Fax Number | 2488096865 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | DR. WARREN RINGOLD (MANAGER) |
| Authorized Official Telephone | 2484021222 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | 63-C026 | MI | Laboratories |
| Street Address |
25354 EVERGREEN RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-1776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226530 | Bushra Fadhil | Nurse Practitioner | 25354 Evergreen Rd, Southfield, MI 48075-1776 | 2019-10-14 |
| 1275085193 | Select Specialists LLC | Clinic/Center | 25354 Evergreen Rd, Southfield, MI 48075-1776 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 1902269269 | Globalmed Diagnostics Inc | Physiological Laboratory | 17330 Northland Park Ct, Suite 203c, Southfield, MI 48075-4318 | 2016-04-03 |
| 1598173874 | Triwest Laboratories | Physiological Laboratory | 24555 Southfield Rd, Suite 110, Southfield, MI 48075-2738 | 2014-07-30 |
| 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 |
| 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 |
| 1730693821 | Pegasus Diagnostics Inc | Physiological Laboratory | 3686 Brandi Dr, Sterling Heights, MI 48310 | 2017-11-28 |
| 1457897019 | Mercy Mobile Services LLC | Physiological Laboratory | 5961 Perrytown Ct, W Bloomfield, MI 48322-1502 | 2017-01-06 |
| 1891154837 | Braincare, LLC | Physiological Laboratory | 3200 Greenfield Rd, Ste 317, Dearborn, MI 48120-1802 | 2016-02-18 |
| 1689062911 | Henry Ford Macomb Ancillary Services | Physiological Laboratory | 133 S Main St, Mount Clemens, MI 48043-2308 | 2015-01-09 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.