MICHIGAN MEDICAL LABORATORY LLC (NPI# 1548682917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548682917 |
| Entity Type | Organization |
| Organization Name | MICHIGAN MEDICAL LABORATORY LLC |
| Other Organization Name | DBA NATIONAL LABORATORY |
| Practice Address |
5732 Alexis Road Sylvania OH 43560 |
| Practice Telephone | 2482543950 |
| Practice Fax Number | 2482543951 |
| Mailing Telephone | (248) 254-3950 |
| Mailing Fax Number | 2482543951 |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | ELIZABETH MARY KNISLEY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7345024104 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 23D2063832 | MI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | BLUE CROSS BLUE SHEILD | OH28665 | 01 |
| MI | BCBSM | 0H28665 | 01 |
| Other Name | Type Code |
|---|---|
| dba National Laboratory | Doing Business As Name - Organization |
| Street Address |
5732 ALEXIS ROAD |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| 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 |
|---|---|---|---|---|
| 1316195928 | Flower Labs | Clinical Medical Laboratory | 5200 Harroun Rd, Sylvania, OH 43560-2168 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605338 | Quest Diagnostics | Clinical Medical Laboratory | 227 Valley View Dr Ste A, Waverly, OH 45690-9135 | 2020-09-29 |
| 1033724109 | Mobility Health, LLC | Clinical Medical Laboratory | 5155 Financial Way Ste 1, Mason, OH 45040-7507 | 2020-09-15 |
| 1649882028 | Quest Diagnostics | Clinical Medical Laboratory | 7777 St Rt 23, Ste A, Piketon, OH 45661 | 2020-08-18 |
| 1063023612 | Quest Diagnostics | Clinical Medical Laboratory | 621 Broadway St Ste A, Portsmouth, OH 45662-4788 | 2020-08-16 |
| 1699384412 | Cleveland Diagnostics, Inc. | Clinical Medical Laboratory | 3615 Superior Ave E Ste 4407b, Cleveland, OH 44114-4139 | 2020-07-28 |
| 1922616168 | Quest Diagnostics | Clinical Medical Laboratory | 14590 State Route 93 Ste A, Jackson, OH 45640-8977 | 2020-07-14 |
| 1053937219 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 23030 State Route 73 Ste A, West Portsmouth, OH 45663-8861 | 2020-06-23 |
| 1942832084 | M1 Labs, LLC | Clinical Medical Laboratory | 1330 State Route 14, Columbiana, OH 44408 | 2020-02-06 |
| 1679123970 | Compunet Clinical Laboratories LLC | Clinical Medical Laboratory | 300 Austin West Blvd, Miamisburg, OH 45342-7519 | 2019-09-18 |
| 1780240788 | Access Hospital Dayton Lab LLC | Clinical Medical Laboratory | 2611 Wayne Ave Bldg 63, Dayton, OH 45420-1833 | 2019-05-15 |
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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.