DMC CLINICAL LAB INC (NPI# 1124137179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124137179 |
| Entity Type | Organization |
| Organization Name | DMC CLINICAL LAB INC |
| Practice Address |
2888 W Grand Blvd Detroit MI 48202-2612 |
| Practice Telephone | 3138711200 |
| Practice Fax Number | 3138711212 |
| Mailing Telephone | 3138711200 |
| Mailing Fax Number | 3138711212 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ELIZABETH ASFAW (OWNER) |
| Authorized Official Telephone | 3138711200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 039079 | MI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2098417 | 05 |
| Street Address |
2888 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986450 | Felicia R. Randolph | Internal Medicine | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2005-07-15 |
| 1518479559 | Noureyah Rageh | Nurse Practitioner | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2017-10-31 |
| 1245741206 | Danita Mayes Dixon | Nurse Practitioner | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2017-10-18 |
| 1154862787 | Kimberly Louise Thornton | Pharmacist | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2017-03-15 |
| 1548638380 | Fareeha Nadeem | Counselor | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2015-09-10 |
| 1407259674 | Bakari Wallace | Social Worker | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2014-10-02 |
| 1720405418 | Brittney Daftuar | Social Worker | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2014-03-19 |
| 1801148911 | The Wellness Plan Medical Centers | Dentist | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2012-10-12 |
| 1780953059 | Stephanie L Gray | Counselor | 2888 W Grand Blvd, Suite 360, Detroit, MI 48202-2612 | 2011-12-15 |
| 1497052583 | Gayatri Sham Joshi | Physical Therapist | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2011-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| 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 |
|---|---|---|---|---|
| 1972137560 | Functional Fluidics LLC | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-02-24 |
| 1538542964 | Angela Johnson | Clinical Medical Laboratory | 17300 Santa Barbara Dr, Detroit, MI 48221-2527 | 2015-07-02 |
| 1326283276 | Genesis Genetics Institute, LLC | Clinical Medical Laboratory | 1380 E Jefferson Ave, Detroit, MI 48207-3104 | 2008-12-06 |
| 1861018749 | Functional Fluidics Inc | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-06-17 |
| 1689293458 | World Wide Clinical Labz LLC | Clinical Medical Laboratory | 5575 Conner St, Detroit, MI 48213-6400 | 2020-04-13 |
| 1861934168 | Natlab Inc | Clinical Medical Laboratory | 3011 W Grand Blvd, Suite 309, Detroit, MI 48202-3096 | 2016-11-17 |
| 1144645235 | National Laboratories Inc | Clinical Medical Laboratory | 3011 W Grand Blvd, Suite 310, Detroit, MI 48202-3096 | 2014-02-26 |
| 1992135792 | Henry Ford Health System | Clinical Medical Laboratory | 440 Burroughs St, Techtown, Detroit, MI 48202-3429 | 2013-11-15 |
| 1366744823 | Vhs University Laboratories Inc | Clinical Medical Laboratory | 4707 Saint Antoine St, Detroit, MI 48201-1427 | 2010-12-03 |
| 1124338488 | City of Detroit | Clinical Medical Laboratory | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2010-10-20 |
| Find all providers in DETROIT | ||||
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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.