GREAT LAKES RESEARCH INSTITUTE LLC NPI 1881357192

NPI Information

NPI: 1881357192
Provider Name: GREAT LAKES RESEARCH INSTITUTE LLC
Classification: Technician, Pathology - 246RM2200X
Entity Type: Organization

Specialization: Medical Laboratory

CLIA Number: 23D2241224

Address:
20755 GREENFIELD RD
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 864-5242
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GREAT LAKES RESEARCH INSTITUTE LLC is a medical laboratory technician pathology in Southfield, MI. GREAT LAKES RESEARCH INSTITUTE LLC NPI is 1881357192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20755 GREENFIELD RD
SOUTHFIELD, MI
ZIP 48075-403
Phone: (248) 864-5242

The provider's authorized official is Diana Alexandria .
The authorized official title is Healthcare Consultant and has the following contact phone number (313) 920-5522.

The CLIA number assigned to this NPI record is 23D2241224 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2021 and was last updated on 10/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246RM2200X	Technician, Pathology	Medical Laboratory			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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