LIVONIA FAMILY PHYSICIANS, PC (NPI# 1407076243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407076243 |
| Entity Type | Organization |
| Organization Name | LIVONIA FAMILY PHYSICIANS, PC |
| Other Organization Name | LFP LABORATORY |
| Practice Address |
17800 Newburgh Rd Suite 103 Livonia MI 48152-2700 |
| Practice Telephone | 7344649540 |
| Practice Fax Number | 7344640438 |
| Mailing Telephone | 7344649540 |
| Mailing Fax Number | 7344640438 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | THOMAS SELZNICK (MANAGING DIRECTOR) |
| Authorized Official Telephone | 7344649540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| LFP Laboratory | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063677912 | Livonia Family Physicians, PC | Family Medicine | 1014 E Grand River Ave, Brighton, MI 48116-1804 | 2008-07-21 |
| 1679544506 | Livonia Family Physicians, PC | Family Medicine | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-30 |
| Street Address |
17800 NEWBURGH RD SUITE 103 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386624187 | J.adam Kellman | Family Medicine | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-18 |
| 1578048138 | Jordan Marie Attisha | Physician Assistant | 17800 Newburgh Rd, Livonia, MI 48152-2700 | 2018-09-30 |
| 1528382991 | Envision Medical Group Pllc | Clinical Medical Laboratory | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2010-03-15 |
| 1225072002 | Isaure Eve Yates | Family Medicine | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-06-15 |
| 1679544506 | Livonia Family Physicians, PC | Family Medicine | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-30 |
| 1053381491 | Danielle Friedrich | Physician Assistant | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-26 |
| 1295705382 | Barbara Bergeski | Physician Assistant | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-23 |
| 1134109531 | Joann Van Oast | Physician Assistant | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-20 |
| 1053391342 | Paul Jackson | Family Medicine | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-20 |
| 1679553465 | Thomas Selznick | Family Medicine | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
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| 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 |
|---|---|---|---|---|
| 1306338884 | Pioneer Central Medical Laboratory LLC | Clinical Medical Laboratory | 15230 Levan Rd, Livonia, MI 48154-5030 | 2018-05-31 |
| 1235520313 | Patino Laboratories LLC | Clinical Medical Laboratory | 29150 Buckingham, Suite 12, Livonia, MI 48154-7500 | 2015-02-11 |
| 1467437053 | Laboratory Corporation of America | Clinical Medical Laboratory | 32355 Capitol St, Livonia, MI 48150-1702 | 2005-12-07 |
| 1518384700 | Comprehensive Neuro Monitoring LLC | Clinical Medical Laboratory | 31330 Schoolcraft Rd, Suite 200, Livonia, MI 48150-2041 | 2014-03-25 |
| 1528382991 | Envision Medical Group Pllc | Clinical Medical Laboratory | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2010-03-15 |
| 1962671834 | Detroit Visiting Laboratory Inc | Clinical Medical Laboratory | 16989 Farmington Rd, Livonia, MI 48154-2946 | 2008-02-26 |
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|---|---|---|---|---|
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| 1407466253 | Van Laan Industries Inc. | Clinical Medical Laboratory | 3414 Lovers Ln Ste A, Kalamazoo, MI 49001-4806 | 2020-08-06 |
| 1164049524 | Rapid Biosense LLC | Clinical Medical Laboratory | 46701 Commerce Center Dr, Plymouth, MI 48170-2475 | 2020-07-01 |
| 1023631595 | Catalyst Diagnostic LLC | Clinical Medical Laboratory | 4942 Dawn Ave Ste 210, East Lansing, MI 48823-5606 | 2020-05-19 |
| 1467073460 | Lynx Dx Inc | Clinical Medical Laboratory | 333 Jackson Plz Ste 600, Ann Arbor, MI 48103-1922 | 2020-04-30 |
| 1184245219 | Olive Labs, Inc. | Clinical Medical Laboratory | 150 Livernois St, Ferndale, MI 48220-2302 | 2020-04-29 |
| 1720617947 | Covenant Pathology Associates, PC | Clinical Medical Laboratory | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-04-08 |
| 1134757339 | Vibra of Southeastern Michigan, LLC | Clinical Medical Laboratory | 1307-a Allen Drive, Troy, MI 48083-4010 | 2020-04-01 |
| 1972137560 | Functional Fluidics LLC | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-02-24 |
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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.