MS. TANYA STOVALL (NPI# 1154868644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154868644 |
Entity Type | Individual |
Full Name | MS. TANYA STOVALL |
Other Name | TANYA STOVALL |
Practice Address |
23330 Oak Glen Dr Southfield MI 48033-3491 |
Practice Telephone | 8774364636 |
Practice Fax Number | 8774364636 |
Mailing Telephone | 8774364636 |
Mailing Fax Number | 8774364636 |
Enumeration Date | 2017-01-23 |
Last Update Date | 2020-01-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers | ||
Y | 291U00000X | Clinical Medical Laboratory | 23D2176188 | MI | Laboratories |
Street Address |
23330 OAK GLEN DR |
City | SOUTHFIELD |
State | MI |
Zip Code | 48033-3491 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548816135 | Venotech Phlebotomy | Technician, Pathology | 23330 Oak Glen Dr, Southfield, MI 48033-3491 | 2019-08-11 |
1790339307 | Khalil Pierce | Technician, Pathology | 23330 Oak Glen Dr, Southfield, MI 48033-3491 | 2019-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
Find all providers in zip 48033 |
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 |
---|---|---|---|---|
1972064889 | United Lab Rx, LLC | Clinical Medical Laboratory | 28266 Franklin Rd Ste A, Southfield, MI 48034-1659 | 2019-03-26 |
1992213474 | Complete Billing Services LLC | Clinical Medical Laboratory | 16250 Northland Dr Ste 105, Southfield, MI 48075-5226 | 2018-01-18 |
1598279804 | Greenfield and 9 Mile Medical Center Pllc | Clinical Medical Laboratory | 20905 Greenfield Rd Ste 607m, Southfield, MI 48075-5355 | 2017-11-22 |
1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
1568994879 | North West Labs Inc | Clinical Medical Laboratory | 29580 Northwestern Hwy, Suite 110, Southfield, MI 48034-1094 | 2017-03-28 |
1952841546 | County of Oakland | Clinical Medical Laboratory | 27725 Greenfield Rd, Southfield, MI 48076-3663 | 2017-03-01 |
1104365626 | Prime Toxicology, LLC | Clinical Medical Laboratory | 28266 Franklin Rd Ste B, Southfield, MI 48034-1659 | 2017-02-16 |
1023556016 | Prime Laboratory, LLC | Clinical Medical Laboratory | 28266 Franklin Rd, Suite A, Southfield, MI 48034-1659 | 2017-02-09 |
1417316100 | Quantum Labs | Clinical Medical Laboratory | 24555 Southfield Rd Ste L-70, Southfield, MI 48075-2738 | 2016-02-23 |
1346611092 | Biotox Laboratory, LLC | Clinical Medical Laboratory | 18161 W. 13 Mile Rd, Suite D3, Southfield, MI 48076 | 2015-10-07 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48033 |
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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.