OUTEST MEDICAL (NPI# 1225383631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225383631 |
Entity Type | Organization |
Organization Name | OUTEST MEDICAL |
Other Organization Name | OUTEST NEURODIAGNOSTICS |
Practice Address |
2055 Franklin Bloomfield Twp. MI 48302 |
Mailing Address |
6418 Mission Court West Bloomfield MI 48324-1398 |
Practice Telephone | 2484996820 |
Mailing Telephone | 2483303520 |
Enumeration Date | 2012-07-23 |
Last Update Date | 2012-07-23 |
Authorized Official Name | MR. GREGORY S LUKASIK (PRESIDENT) |
Authorized Official Telephone | 2483303520 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
Other Name | Type Code |
---|---|
Outest Neurodiagnostics | Doing Business As Name - Organization |
Street Address |
2055 FRANKLIN |
City | BLOOMFIELD TWP., |
State | MI |
Zip Code | 48302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
Find all providers in zip 48302 |
Taxonomy Code | 246ZE0600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Electroneurodiagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578028809 | Mimedical Solutions, Pllc | Specialist/Technologist, Other | 20760 Turnberry Blvd, Northville, MI 48167-2197 | 2019-01-31 |
1669907507 | Nikita Waller | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2017-04-28 |
1841734647 | David Figueroa | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1770969511 | David Dube | Specialist/Technologist, Other | 462 Emerald Ave Ne, Grand Rapids, MI 49503-1868 | 2015-08-04 |
1730576349 | Lagonia Rogers | Specialist/Technologist, Other | 3740 Crane St, Detroit, MI 48214-1233 | 2015-04-21 |
1578795886 | Amanda Gaye King | Specialist/Technologist, Other | 1312 Elmwood Rd, Lansing, MI 48917-1540 | 2009-08-20 |
1255584827 | R & G Ambulatory Services LLC | Specialist/Technologist, Other | 4511 Miller Road, Second Floor, Flint, MI 48507 | 2008-10-28 |
1477169597 | Macaulie Marie Fritz | Specialist/Technologist, Other | 45211 Helm St, Plymouth, MI 48170-6023 | 2020-09-23 |
1033726112 | Billie Jo Patrick | Specialist/Technologist, Other | 45211 Helm St, Plymouth, MI 48170-6023 | 2020-09-23 |
1659987196 | David Paul Mandziara | Specialist/Technologist, Other | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2020-09-21 |
Find all providers with the same taxonomy |
City | BLOOMFIELD TWP., |
Zip Code | 48302 |
Please comment or provide details below to improve the information on OUTEST MEDICAL.
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.