MICHIGAN MEDICAL DOCTORS PLLC (NPI# 1518149343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518149343 |
| Entity Type | Organization |
| Organization Name | MICHIGAN MEDICAL DOCTORS PLLC |
| Practice Address |
1380 Coolidge Troy MD 48084 |
| Practice Telephone | 2485452131 |
| Practice Fax Number | 2485454737 |
| Mailing Telephone | 2485452131 |
| Mailing Fax Number | 2485454737 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | DR. JAMES C MACKENZIE (OWNER) |
| Authorized Official Telephone | 2485452131 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447302971 | Michigan Medical Doctors Pllc | Internal Medicine | 1380 Coolidge Hwy, Suite 100, Troy, MI 48084-7018 | 2007-01-17 |
| Street Address |
1380 COOLIDGE |
| City | TROY |
| State | MD |
| Zip Code | 48084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| 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 |
|---|---|---|---|---|
| 1134757339 | Vibra of Southeastern Michigan, LLC | Clinical Medical Laboratory | 1307-a Allen Drive, Troy, MI 48083-4010 | 2020-04-01 |
| 1598231045 | Nationwide Laboratories, LLC | Clinical Medical Laboratory | 1307 Allen Dr Ste A300, Troy, MI 48083-4000 | 2018-10-22 |
| 1902287279 | B3 Diagnostic Laboratory, LLC | Clinical Medical Laboratory | 1307 Allen Dr Ste A, Troy, MI 48083-4010 | 2015-06-12 |
| 1235400839 | Compunet Clinical Laboratories, LLC | Clinical Medical Laboratory | 3130 N County Road 25a Ste 107, Troy, OH 45373-1337 | 2012-01-13 |
| 1164651618 | Western Slope Laboratory LLC | Clinical Medical Laboratory | 1197 Rochester Rd, Suite K, Troy, MI 48083-6031 | 2009-07-06 |
| 1770700353 | Newport Pathology | Clinical Medical Laboratory | 966 Missoula Ave, Troy, MT 59935-9624 | 2007-04-18 |
| 1376592493 | Guthrie Medical Group, P.C. | Clinical Medical Laboratory | 285 Guthrie Dr, Troy, PA 16947-8115 | 2006-05-08 |
| 1629073168 | Compunet Clinical Laboratories LLC | Clinical Medical Laboratory | 1888 W Main St, Troy, OH 45373-2304 | 2005-06-20 |
| 1912513185 | Mvp Diagnostic Laboratory LLC | Clinical Medical Laboratory | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-09-22 |
| 1538552500 | Dermatopathology Laboratory of Central States - Michigan | Clinical Medical Laboratory | 1100 Owendale Dr, Suite A, Troy, MI 48083-1914 | 2015-03-14 |
| Find all providers in TROY | ||||
Please comment or provide details below to improve the information on MICHIGAN MEDICAL DOCTORS PLLC.
| 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.