PREVENTIVE HEALTHCARE TECHNOLOGIES LLC (NPI# 1497378145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497378145 |
| Entity Type | Organization |
| Organization Name | PREVENTIVE HEALTHCARE TECHNOLOGIES LLC |
| Practice Address |
29560 Beck Rd Wixom MI 48393-2883 |
| Practice Telephone | 8334639633 |
| Mailing Telephone | 8334639633 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | DOMINIC H SIWIK (CEO) |
| Authorized Official Telephone | 8334639633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
29560 BECK RD |
| City | WIXOM |
| State | MI |
| Zip Code | 48393-2883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907507 | Nikita Waller | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2017-04-28 |
| 1356897086 | Amber Kay Smith | Technician, Other | 403 Meadows Circle South, Wixom, MI 48393 | 2016-09-01 |
| 1306259718 | Omaka Mokambe | Licensed Practical Nurse | 47915 Thornwood St Apt 11103, Wixom, MI 48393 | 2014-06-04 |
| 1932491487 | Carla's Comp-anionship & Care LLC | Point of Service | 30739 Tamarack St. #40101, Wixom, MI 48393 | 2011-05-03 |
| 1790981900 | Positive Reflections Empowerment Center | Community/Behavioral Health | 47922 Fernwood 12107, Wixom, MI 48393 | 2007-06-25 |
| 1871635409 | Lawrence Robert Weiss | Chiropractor | 49295 West Rd, Wixom, MI 48393 | 2007-02-12 |
| 1295803096 | William Jason Finn | Chiropractor | 3255 W Maple, Suite B, Wixom, MI 48393 | 2006-12-01 |
| 1629148853 | J & B Medical Supply Co Inc | Durable Medical Equipment & Medical Supplies | 50496 W Pontiac Trail, Wixom, MI 48393 | 2006-11-08 |
| 1487613899 | Shawn William Grant | Physical Therapist | 29822 Wixom Rd., Wixom, MI 48393 | 2006-03-23 |
| 1346732401 | Dana Chirico | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2018-06-05 |
| Find all providers in zip 48393 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960025 | Vali Medical, LLC | Physiological Laboratory | 231 Willits Alley, Birmingham, MI 48009-3338 | 2020-04-13 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1609209006 | Insight Diagnostics LLC | Physiological Laboratory | 17000 Executive Drive Suite B, Dearborn, MI 48126 | 2013-08-21 |
| 1063754323 | Clearpath Diagnostics LLC | Physiological Laboratory | 25354 Evergreen Rd, Southfield, MI 48075-1776 | 2013-03-25 |
| 1134262140 | Romeo Sleep Center, LLC | Physiological Laboratory | 67150 Van Dyke, #150, Washington, MI 48095 | 2007-02-15 |
| 1427149418 | Auburn Hills Sleep Center, LLC | Physiological Laboratory | 2059 N Monroe St, Suite B1a, Monroe, MI 48162-5353 | 2006-09-27 |
| 1730693821 | Pegasus Diagnostics Inc | Physiological Laboratory | 3686 Brandi Dr, Sterling Heights, MI 48310 | 2017-11-28 |
| 1457897019 | Mercy Mobile Services LLC | Physiological Laboratory | 5961 Perrytown Ct, W Bloomfield, MI 48322-1502 | 2017-01-06 |
| 1902269269 | Globalmed Diagnostics Inc | Physiological Laboratory | 17330 Northland Park Ct, Suite 203c, Southfield, MI 48075-4318 | 2016-04-03 |
| 1891154837 | Braincare, LLC | Physiological Laboratory | 3200 Greenfield Rd, Ste 317, Dearborn, MI 48120-1802 | 2016-02-18 |
| Find all providers with the same taxonomy | ||||
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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.