ASHLI UPCHURCH (NPI# 1770970253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770970253 |
| Entity Type | Individual |
| Full Name | ASHLI UPCHURCH |
| Practice Address |
5783 Devonshire Rd Detroit MI 48224-3236 |
| Practice Telephone | 3135226109 |
| Mailing Telephone | 3135226109 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5783 DEVONSHIRE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48224-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403767 | Renia Scott | Licensed Practical Nurse | 5211 Berkshire St, Detroit, MI 48224 | 2019-12-06 |
| 1063928612 | Edith Neely-harris | Registered Nurse | 1203 Courville Street, Detroit, MI 48224 | 2017-12-19 |
| 1043767585 | Annette Jackson | Counselor | 10666 Duprey St, Detroit, MI 48224 | 2016-09-01 |
| 1164977807 | Dehvin White-peck | Technician, Other | 4529 Harvard Rd, Detroit, MI 48224 | 2016-08-23 |
| 1992153704 | Andrea Henderson | Licensed Practical Nurse | 9131 Bradford, Detroit, MI 48224 | 2016-06-02 |
| 1467807578 | Venus Staffing LLC | Nursing Care | 5601 Devonshire Rd, Detroit, MI 48224 | 2016-04-26 |
| 1558795625 | Rafia El-alayli | Internal Medicine | 9901 Whittier Ave, Detroit, MI 48224 | 2013-08-26 |
| 1831334259 | House of Hearts Ministry, Inc. | Voluntary or Charitable | 11151 Worden, Detroit, MI 48224 | 2008-12-15 |
| 1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
| 1184845844 | Tymon C Totte | Dentist | 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 | 2007-05-01 |
| Find all providers in zip 48224 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881857688 | Michael Durrell Davis | Pathology | 1151 Taylor Street, Herman Kiefer Health Complex 150-c, Detroit, MI 48202-1732 | 2008-07-02 |
| 1124280177 | Aloysius Patrick Hanson | Pathology | 1151 Taylor Street, Herman Kiefer Health Complex 150-c, Detroit, MI 48202-1732 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477001923 | Shelia Parker | Pathology | 304 Briarwood St Apt 217, Clare, MI 48617-1060 | 2016-09-13 |
| 1609909043 | Daniel H Farkas | Pathology | 301 Michigan St Ne Ste 580, Grand Rapids, MI 49503-3314 | 2007-03-14 |
| 1497175087 | Seetharamaiah Chittiprol | Pathology | One Hurley Plaza, Hurley Medical Center, Flint, MI 48503 | 2014-04-22 |
| 1619099389 | Benedict I Kuslikis | Pathology | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2007-04-04 |
| 1518090950 | Michael J Warzynski | Pathology | 1345 Monroe Ave Nw, Suite 121, Grand Rapids, MI 49505 | 2007-03-14 |
| 1295866721 | Daniel R Sundin | Pathology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2007-03-08 |
| 1326178104 | James V Higgins | Pathology | 1345 Monroe Ave Nw, Grand Rapids, MI 49505-4671 | 2007-03-07 |
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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.