DMC UNIVERSITY LABORATORIES (NPI# 1871776211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871776211 |
| Entity Type | Organization |
| Organization Name | DMC UNIVERSITY LABORATORIES |
| Other Organization Name | ANATOMIC PATHOLOGY |
| Practice Address |
4707 Saint Antoine St Detroit MI 48201-1427 |
| Practice Telephone | 3137452525 |
| Practice Fax Number | 3137459661 |
| Mailing Telephone | 3137452525 |
| Mailing Fax Number | 3137459661 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | DR. WAEL A SAKR (LABORATORY DIRECTOR) |
| Authorized Official Telephone | 3137452525 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | DMC UNIVERSITY LABORATORIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | MI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2913606 | 05 |
| Other Name | Type Code |
|---|---|
| ANATOMIC PATHOLOGY | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DMC UNIVERSITY LABORATORIES | 4201 St Antoine Ste 3e-1, Detroit, MI 48201-2153 |
| Street Address |
4707 SAINT ANTOINE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538100268 | Anesthesia Services, PC Harper/hutzel | Specialist | 4707 Saint Antoine St, Detroit, MI 48201-1427 | 2006-06-10 |
| 1306387675 | Vhs Detroit Businesses Inc | Preferred Provider Organization | 4707 Saint Antoine St, Suite 5 South, Detroit, MI 48201-1427 | 2017-03-20 |
| 1811265374 | Michael R Young | Pharmacist | 4707 Saint Antoine St, Suite M230, Detroit, MI 48201-1427 | 2011-12-12 |
| 1114215423 | Alex Alammar | Anesthesiology | 4707 Saint Antoine St, Detroit, MI 48201-1427 | 2011-07-20 |
| 1366744823 | Vhs University Laboratories Inc | Clinical Medical Laboratory | 4707 Saint Antoine St, Detroit, MI 48201-1427 | 2010-12-03 |
| 1639319700 | Chandrani Ghosh | Pathology | 4707 Saint Antoine St, Old Hutzel Hospital, Detroit, MI 48201-1427 | 2009-03-02 |
| 1003026709 | Healthsource Inc | Health Maintenance Organization | 4707 Saint Antoine St, Suite G20, Detroit, MI 48201-1427 | 2007-05-23 |
| 1891815445 | Jean Nyambio | Registered Nurse | 4707 Saint Antoine St, Detroit, MI 48201-1427 | 2007-03-29 |
| 1871613430 | Annabelle T Suguitan | Nurse Anesthetist, Certified Registered | 4707 Saint Antoine St, Detroit, MI 48201-1427 | 2007-03-29 |
| 1285791483 | Cheryl Lynn Hess | Genetic Counselor, MS | 4707 Saint Antoine St, Detroit, MI 48201-1427 | 2007-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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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 |
|---|---|---|---|---|
| 1972137560 | Functional Fluidics LLC | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-02-24 |
| 1538542964 | Angela Johnson | Clinical Medical Laboratory | 17300 Santa Barbara Dr, Detroit, MI 48221-2527 | 2015-07-02 |
| 1326283276 | Genesis Genetics Institute, LLC | Clinical Medical Laboratory | 1380 E Jefferson Ave, Detroit, MI 48207-3104 | 2008-12-06 |
| 1861018749 | Functional Fluidics Inc | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-06-17 |
| 1689293458 | World Wide Clinical Labz LLC | Clinical Medical Laboratory | 5575 Conner St, Detroit, MI 48213-6400 | 2020-04-13 |
| 1861934168 | Natlab Inc | Clinical Medical Laboratory | 3011 W Grand Blvd, Suite 309, Detroit, MI 48202-3096 | 2016-11-17 |
| 1144645235 | National Laboratories Inc | Clinical Medical Laboratory | 3011 W Grand Blvd, Suite 310, Detroit, MI 48202-3096 | 2014-02-26 |
| 1992135792 | Henry Ford Health System | Clinical Medical Laboratory | 440 Burroughs St, Techtown, Detroit, MI 48202-3429 | 2013-11-15 |
| 1366744823 | Vhs University Laboratories Inc | Clinical Medical Laboratory | 4707 Saint Antoine St, Detroit, MI 48201-1427 | 2010-12-03 |
| 1124338488 | City of Detroit | Clinical Medical Laboratory | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2010-10-20 |
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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.