BIOLIGHT THERAPEUTICS LLC (NPI# 1629281068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629281068 |
| Entity Type | Organization |
| Organization Name | BIOLIGHT THERAPEUTICS LLC |
| Practice Address |
15600 W 7 Mile Rd Detroit MI 48235-2928 |
| Practice Telephone | 2484560619 |
| Practice Fax Number | 2484560729 |
| Mailing Telephone | 2484560619 |
| Mailing Fax Number | 2484560729 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | JASON SMITH (DIRECTOR) |
| Authorized Official Telephone | 2484560619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 4301034892 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MI | 0F32887 | 01 |
| Street Address |
15600 W 7 MILE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
| Find all providers in zip 48235 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659569796 | Infusal Direct, Inc. | Legal Medicine | 8315 Grand River Ave, Detroit, MI 48204-2231 | 2007-10-12 |
| 1992709331 | Professional Plaza Clinic Corporation | Legal Medicine | 2395 W Grand Blvd, Detroit, MI 48208-1210 | 2005-06-13 |
| 1992952097 | Healthlink Associates, Pllc | Legal Medicine | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2008-08-20 |
| 1699949479 | Dr. Wendy Mckay P.C. Dba Springwells Clinic | Legal Medicine | 2117 Springwells St, Detroit, MI 48209-1507 | 2008-04-14 |
| 1205008125 | Ruben Taguiam Benito | Legal Medicine | 430 Mack Ave, Suite B, Detroit, MI 48201 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194101311 | Brittany Rene Kruger | Legal Medicine | 75 Mines Creek Pl, Battle Creek, MI 49015 | 2015-08-11 |
| 1861808594 | Voravut Rungpradubvong | Legal Medicine | 1111 Maiden Lane Ct Apt 106, Ann Arbor, MI 48105-1927 | 2014-07-02 |
| 1851712319 | Shannan Kline | Legal Medicine | 724 W Centre Ave Ste 105, Portage, MI 49024-6306 | 2013-12-30 |
| 1215373899 | Basam Shamoun | Legal Medicine | 43630 Gratiot, Chesterfield, MI 48055 | 2013-05-22 |
| 1184911422 | Complete Physicians Care PC | Legal Medicine | 8635 Nottingham Ct, Ypsilanti, MI 48198-3222 | 2011-07-07 |
| 1174832752 | Kathleen M Chauvin Mdpc | Legal Medicine | 2518 Capital Ave Sw, Ste 4, Battle Creek, MI 49015-4188 | 2010-09-30 |
| 1134438146 | Community Medical Group Inc | Legal Medicine | 9477 N Territorial Rd Ste 100, Dexter, MI 48130-8583 | 2010-09-26 |
| 1205013307 | Carolyn Goodrich Martin | Legal Medicine | 713 4th St, Kalkaska, MI 49646-9506 | 2008-01-31 |
| 1063693083 | Urgent Care One Pllc | Legal Medicine | 6200 Middlebelt Rd, Garden City, MI 48135-2409 | 2007-11-19 |
| 1114051646 | Ank PC | Legal Medicine | 2012 Monroe St Ste 102, Dearborn, MI 48124-2938 | 2007-03-15 |
| 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.