AT HOME DIAGNOSTICS, LLC (NPI# 1720693393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720693393 |
| Entity Type | Organization |
| Organization Name | AT HOME DIAGNOSTICS, LLC |
| Practice Address |
2075 E West Maple Rd Commerce Township MI 48390-3816 |
| Mailing Address |
8323 Mabley Hill Rd Fenton MI 48430-9455 |
| Practice Telephone | 2484660806 |
| Practice Fax Number | 8102440226 |
| Mailing Telephone | 2484660806 |
| Mailing Fax Number | 8102440226 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | JAMES TOUGAS (MANAGING PARTNER) |
| Authorized Official Telephone | 2484660806 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 251E00000X | Home Health | Agencies | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
2075 E WEST MAPLE RD |
| City | COMMERCE TOWNSHIP |
| State | MI |
| Zip Code | 48390-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104802784 | Ropp Orthopedic Clinic LLC | Prosthetic/Orthotic Supplier | 2075 E West Maple Rd, Ste B-207, Commerce Township, MI 48390-3816 | 2005-12-15 |
| 1427550987 | Megan Evans | Speech-Language Pathologist | 2075 E West Maple Rd, Commerce Township, MI 48390-3816 | 2018-03-01 |
| 1811312556 | Stephanie Elayne Walker | Specialist | 2075 E West Maple Rd, Suite B-204, Commerce Township, MI 48390 | 2014-03-04 |
| 1598018830 | Donna White Citrin | Speech-Language Pathologist | 2075 E West Maple Rd, B-204, Commerce Township, MI 48390-3816 | 2012-10-24 |
| 1235488909 | Erin Bates | Occupational Therapist | 2075 E West Maple Rd, Suite B-204, Commerce Township, MI 48390-3816 | 2012-09-10 |
| 1215246855 | Meghan Ann Mace | Occupational Therapist | 2075 E West Maple Rd, Commerce Township, MI 48390-3816 | 2010-09-30 |
| 1033430137 | Jessica Patricia Martinez | Specialist | 2075 E West Maple Rd, Suite B-204, Commerce Township, MI 48390-3816 | 2010-06-13 |
| 1225363583 | Ronald James Ruzinsky | Prosthetic/Orthotic Supplier | 2075 E West Maple Rd, B-207, Commerce Township, MI 48390-3816 | 2009-10-05 |
| 1528212347 | Patricia Doehler | Occupational Therapist | 2075 E West Maple Rd, Suite B-204, Commerce Township, MI 48390-3816 | 2008-11-06 |
| 1114177615 | Rocio Patton | Speech-Language Pathologist | 2075 E West Maple Rd, Suite B-204, Commerce Township, MI 48390-3816 | 2008-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820913 | Elizabeth Ann Manela | Speech-Language Pathologist | 2075 East West Maple Road, Suite B203, Walled Lake, MI 48390 | 2020-08-05 |
| 1205459674 | Allor Outdoor Services LLC | Chore Provider | 3225 E Oakley Park Rd, Commerce Twp, MI 48390 | 2020-05-20 |
| 1467004382 | Convenient Cm PC | Dentist | 2655 Oakley Park Rd, Suite 101, Commerce Twp, MI 48390 | 2019-07-11 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1255858296 | Finn Family Chiropractic Pllc | Chiropractor | 2344 South Commerce Road, Walled Lake, MI 48390 | 2017-08-29 |
| 1588012629 | Shane Macphee | Chiropractor | 2901 Commerce Crossings, Commerce Township, MI 48390 | 2016-05-31 |
| 1245690114 | Lisa Jensen | Nurse Practitioner | 100 West Maple Rd., Walled Lake, MI 48390 | 2016-03-04 |
| 1255725123 | Carissa Karanth | Counselor | 1500 Rustic Lane, Wolverine Lake, MI 48390 | 2015-03-27 |
| 1689095093 | Mabell Omoye Scott | Licensed Vocational Nurse | 724 Owl Court, Wolverine Lake, MI 48390 | 2014-01-02 |
| 1093002230 | Ilze Liene Junkulis-muller | Pharmacist | 495 Haggerty, Traget Pharmacy #0896, Walled Lake, MI 48390 | 2011-07-08 |
| Find all providers in zip 48390 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030068 | Copper Ridge Health PC | Clinic/Center | 4290 Copper Ridge Dr Ste 100, Traverse City, MI 49684-7256 | 2020-10-14 |
| 1043705163 | Elite Medical Diagnostics LLC | Clinic/Center | 30700 Telegraph Rd Ste 1536, Bingham Farms, MI 48025-4590 | 2018-07-01 |
| 1275022980 | Bellin Health Iron Mountain Inc | Clinic/Center | 440 Woodward Ave Ste A, Iron Mountain, MI 49801-4631 | 2018-05-08 |
| 1114416906 | Bellin Health Iron Mountain Inc | Clinic/Center | 2845 Highway Us2 and 41, Suite 202, Bark River, MI 49807 | 2018-05-07 |
| 1972092831 | Bellin Health Iron Mountain Inc | Clinic/Center | 2001 Minneapolis Ave Ste D, Gladstone, MI 49837-2060 | 2018-05-07 |
| 1437676871 | Diagnostic Solutions Pllc | Clinic/Center | 29877 Telegraph Rd Ste 400b, Southfield, MI 48034-7661 | 2017-08-25 |
| 1659769867 | Pavilion Imaging, LLC | Clinic/Center | 29201 Telegraph Rd Ste L-01, Southfield, MI 48034-1301 | 2014-12-23 |
| 1194143982 | Hurley Medical Center | Clinic/Center | 5494 S Dort Hwy, Flint, MI 48507-4483 | 2014-03-31 |
| 1003105420 | Envision Diagnostic Ultrasound Imaging LLC | Clinic/Center | 2715 Seneca St, Flint, MI 48504-5106 | 2011-04-06 |
| 1174848600 | Professional Diagnostic Imagiging Pllc | Clinic/Center | 4284 Echo Rd, Bloomfield Hills, MI 48302-1943 | 2010-03-27 |
| Find all providers with the same taxonomy | ||||
| City | COMMERCE TOWNSHIP |
| Zip Code | 48390 |
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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.