MEDICAL PLAZA DIAGNOSTICS PLLC (NPI# 1235553025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235553025 |
| Entity Type | Organization |
| Organization Name | MEDICAL PLAZA DIAGNOSTICS PLLC |
| Practice Address |
3271 W Carleton Rd Hillsdale MI 49242-9458 |
| Mailing Address |
3061 Christy Way Saginaw MI 48603-2224 |
| Practice Telephone | 5174373879 |
| Practice Fax Number | 5174374053 |
| Mailing Telephone | 9897912455 |
| Mailing Fax Number | 9897911392 |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |
| Authorized Official Name | TARIQ ABDELKARIM (OWNER) |
| Authorized Official Telephone | 5174373879 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
3271 W CARLETON RD |
| City | HILLSDALE |
| State | MI |
| Zip Code | 49242-9458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225125792 | Tariq Hasan Abdelkarim | Internal Medicine | 3271 W Carleton Rd, Hillsdale, MI 49242-9458 | 2006-10-06 |
| 1952932147 | Denton Votzke | Physician Assistant | 3271 W Carleton Rd, Hillsdale, MI 49242-9458 | 2020-01-28 |
| 1972158566 | Advanced Veins and Vascular Management Plc | Surgery | 3271 W Carleton Rd, Hillsdale, MI 49242-9458 | 2019-08-09 |
| 1225541014 | Ryan Holmes | Internal Medicine | 3271 W Carleton Rd, Hillsdale, MI 49242-9458 | 2017-11-15 |
| 1346791902 | Barry Strain | Nurse Practitioner | 3271 W Carleton Rd, Hillsdale, MI 49242-9458 | 2016-10-19 |
| 1639626609 | Brandon Douglass | Physician Assistant | 3271 W Carleton Rd, Hillsdale, MI 49242-9458 | 2016-09-07 |
| 1316333867 | Patricia Hall | Nurse Practitioner | 3271 W Carleton Rd, Hillsdale, MI 49242-9458 | 2015-04-11 |
| 1124434691 | Danielle Rae Gooding | Nurse Practitioner | 3271 W Carleton Rd, Hillsdale, MI 49242-9458 | 2014-07-06 |
| 1730361254 | Hillsdale Pulmonary Critical Care and Sleep Medicine PC | Internal Medicine | 3271 W Carleton Rd, Hillsdale, MI 49242-9458 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131235 | Jai Chamunda Hillsdale Inc | Pharmacy | 3271 W Carleton Road, Hillsdale, MI 49242 | 2019-12-17 |
| 1952953069 | Rachel Mccormack | Registered Nurse | 451 Hidden Meadows Dr Ste 220, Hillsdale, MI 49242 | 2019-07-10 |
| 1205359585 | Sarah Elizabeth Engle | Specialist/Technologist | 40 Morry St., Hillsdale, MI 49242 | 2017-07-19 |
| 1306399613 | Hillsdale College | Registered Nurse | 33 E. College St, Hillsdale, MI 49242 | 2016-08-03 |
| 1609251289 | Shirley Marie Depew | Licensed Practical Nurse | 13th Cronk Rd, Hillsdale, MI 49242 | 2015-07-24 |
| 1194127183 | Drews Care Management | Assisted Living Facility | 101 Village Green Boulevard, Hillsdale, MI 49242 | 2014-09-22 |
| 1871917385 | James E. Hubbell | Pharmacist | 196 W. Carleton, Hillsdale, MI 49242 | 2014-02-05 |
| 1598100216 | Ashley Reanna-jeanine Earl | Physical Therapy Assistant | 168 Hallet St, Hillsdale, MI 49242 | 2013-05-08 |
| 1174868350 | Alliance Dme | Durable Medical Equipment & Medical Supplies | 67 E Saint Joe St, Hillsdale, MI 49242 | 2012-11-29 |
| 1265740948 | Melissa Ann Wirebaugh | Respite Care | 47 East Saint Joe St, Hillsdale, MI 49242 | 2010-09-16 |
| Find all providers in zip 49242 | ||||
| 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. |
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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.