DIVINE DIAGNOSTIC COMPANY NPI 1881901668

NPI Information

  • NPI: 1881901668
  • Provider Name: DIVINE DIAGNOSTIC COMPANY
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 5005 E 14 MILE RD STE 100
    STERLING HEIGHTS, MI
    ZIP 48310
  • Phone: (586) 795-3815

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NPI Details

DIVINE DIAGNOSTIC COMPANY is a point of service in Sterling Heights, MI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DIVINE DIAGNOSTIC COMPANY NPI is 1881901668. The provider is registered as an organization entity type.

The provider's business location address is:

5005 E 14 MILE RD STE 100
STERLING HEIGHTS, MI
ZIP 48310-533
Phone: (586) 795-3815
Fax: (586) 620-6062

The provider's authorized official is Suha Alaka .
The authorized official title is Owner/ceo and has the following contact phone number (586) 713-8397.

The enumeration date for this NPI number is 9/1/2010 and was last updated on 8/15/2013.

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
1305S00000XPoint of ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MI5342MEDICARE PINMICHIGAN
21881901668MEDICAIDMICHIGAN
30E03743OTHERBC

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: 3/30/2025

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