DIRECT PATH SERVICES, P.C. (NPI# 1730511346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730511346 |
| Entity Type | Organization |
| Organization Name | DIRECT PATH SERVICES, P.C. |
| Practice Address |
30200 Telegraph Rd Suite 405 Bingham Farms MI 48025-4502 |
| Practice Telephone | 2482204425 |
| Practice Fax Number | 2482204428 |
| Mailing Telephone | 2482204425 |
| Mailing Fax Number | 2482204428 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-11-22 |
| Authorized Official Name | DR. CHRISTOPHER J SCHWIMER (PRESIDENT/LABORATORY DIRECTOR) |
| Authorized Official Telephone | 2482204425 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 5101015559 | MI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1730511346 | 05 | |
| MI | BLUE CROSS BLUE SHEILD | 0H70792 | 01 |
| Street Address |
30200 TELEGRAPH RD SUITE 405 |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659366680 | Melissa G Diffenderfer | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2005-09-15 |
| 1376001180 | Cheryl Lugean Mason | Counselor | 30200 Telegraph Rd, Bingham Farms, MI 48025-4502 | 2019-03-11 |
| 1457843203 | Ashlyn Paige Compau | In Home Supportive Care | 30200 Telegraph Rd, Bingham Farms, MI 48025-4502 | 2018-06-06 |
| 1932636727 | Justin Doty | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2017-05-11 |
| 1063864494 | Rhondi Lynne Mcgill | Social Worker | 30200 Telegraph Rd, Suite207, Bingham Farms, MI 48025-4502 | 2016-07-09 |
| 1790130953 | Samuel Broaden | Driver | 30200 Telegraph Rd, 404, Bingham Farms, MI 48025-4502 | 2016-04-25 |
| 1376942599 | Lisa Ann Weiss | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2014-08-14 |
| 1619384815 | Brian David Bradley | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2014-07-20 |
| 1881036754 | Apex Therapy Services, Inc | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2013-07-22 |
| 1275805483 | Katie Perz Zacharzewski | Anesthesiology | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2012-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
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| 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 |
|---|---|---|---|---|
| 1053941955 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 32270 Telegraph Rd Ste 100, Bingham Farms, MI 48025-2455 | 2020-01-20 |
| 1447879978 | North American Laboratories, LLC | Clinical Medical Laboratory | 32270 Telegraph Rd Ste 110, Bingham Farms, MI 48025-2456 | 2020-04-14 |
| 1326066374 | Quest Diagnostics Incorporated Mi | Clinical Medical Laboratory | 32270 Telegraph Rd, Ste 100, Bingham Farms, MI 48025-2456 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726633 | Shores Diagnostic LLC | Clinical Medical Laboratory | 3611 Carpenter St Ste 6, Hamtramck, MI 48212-2784 | 2020-09-28 |
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1407466253 | Van Laan Industries Inc. | Clinical Medical Laboratory | 3414 Lovers Ln Ste A, Kalamazoo, MI 49001-4806 | 2020-08-06 |
| 1164049524 | Rapid Biosense LLC | Clinical Medical Laboratory | 46701 Commerce Center Dr, Plymouth, MI 48170-2475 | 2020-07-01 |
| 1023631595 | Catalyst Diagnostic LLC | Clinical Medical Laboratory | 4942 Dawn Ave Ste 210, East Lansing, MI 48823-5606 | 2020-05-19 |
| 1467073460 | Lynx Dx Inc | Clinical Medical Laboratory | 333 Jackson Plz Ste 600, Ann Arbor, MI 48103-1922 | 2020-04-30 |
| 1184245219 | Olive Labs, Inc. | Clinical Medical Laboratory | 150 Livernois St, Ferndale, MI 48220-2302 | 2020-04-29 |
| 1720617947 | Covenant Pathology Associates, PC | Clinical Medical Laboratory | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-04-08 |
| 1134757339 | Vibra of Southeastern Michigan, LLC | Clinical Medical Laboratory | 1307-a Allen Drive, Troy, MI 48083-4010 | 2020-04-01 |
| 1972137560 | Functional Fluidics LLC | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-02-24 |
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| City | BINGHAM FARMS |
| Zip Code | 48025 |
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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.