VIBRA OF SOUTHEASTERN MICHIGAN, LLC (NPI# 1134757339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134757339 |
| Entity Type | Organization |
| Organization Name | VIBRA OF SOUTHEASTERN MICHIGAN, LLC |
| Practice Address |
1307-a Allen Drive Troy MI 48083-4010 |
| Practice Telephone | 2488460663 |
| Mailing Telephone | 2488460663 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | MR. CLINT T FEGAN (SEC/TREASURER) |
| Authorized Official Telephone | 7175915700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Vibra Health Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447617915 | Vibra of Southeastern Michigan, LLC | General Acute Care Hospital | 261 Mack Ave, 7th Floor, Detroit, MI 48201-2417 | 2016-01-28 |
| Street Address |
1307-A ALLEN DRIVE |
| City | TROY |
| State | MI |
| Zip Code | 48083-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| 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 |
|---|---|---|---|---|
| 1598231045 | Nationwide Laboratories, LLC | Clinical Medical Laboratory | 1307 Allen Dr Ste A300, Troy, MI 48083-4000 | 2018-10-22 |
| 1902287279 | B3 Diagnostic Laboratory, LLC | Clinical Medical Laboratory | 1307 Allen Dr Ste A, Troy, MI 48083-4010 | 2015-06-12 |
| 1235400839 | Compunet Clinical Laboratories, LLC | Clinical Medical Laboratory | 3130 N County Road 25a Ste 107, Troy, OH 45373-1337 | 2012-01-13 |
| 1164651618 | Western Slope Laboratory LLC | Clinical Medical Laboratory | 1197 Rochester Rd, Suite K, Troy, MI 48083-6031 | 2009-07-06 |
| 1518149343 | Michigan Medical Doctors Pllc | Clinical Medical Laboratory | 1380 Coolidge, Troy, MD 48084 | 2007-12-04 |
| 1770700353 | Newport Pathology | Clinical Medical Laboratory | 966 Missoula Ave, Troy, MT 59935-9624 | 2007-04-18 |
| 1376592493 | Guthrie Medical Group, P.C. | Clinical Medical Laboratory | 285 Guthrie Dr, Troy, PA 16947-8115 | 2006-05-08 |
| 1629073168 | Compunet Clinical Laboratories LLC | Clinical Medical Laboratory | 1888 W Main St, Troy, OH 45373-2304 | 2005-06-20 |
| 1912513185 | Mvp Diagnostic Laboratory LLC | Clinical Medical Laboratory | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-09-22 |
| 1538552500 | Dermatopathology Laboratory of Central States - Michigan | Clinical Medical Laboratory | 1100 Owendale Dr, Suite A, Troy, MI 48083-1914 | 2015-03-14 |
| Find all providers in TROY | ||||
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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.