Lake Diagnostics, Inc., NPI 1134130172
Specialist in Waterford, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1134130172
NPI Entity Type Organization
Provider Name Lake Diagnostics, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3550 Pontiac Lake Rd, Waterford, MI, US
Provider Mailing Address 3550 Pontiac Lake Rd, Waterford, MI, US, 483282337
Is Sole Proprietor? No
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Organization Official

Official Name DR. D.O. Joel Leib
Official Position PRESIDENT/OWNER
Phone 248-674-8199

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

174400000X

Taxonomy Name Specialist
Classification

Specialist

Group

Other Service Providers

Description An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

Lake Diagnostics, Inc.
3550 Pontiac Lake Rd

Waterford, MI, US

Phone: 248-674-8199
Fax: 248-674-8205

Mailing Address

Lake Diagnostics, Inc.
3550 Pontiac Lake Rd
Waterford, MI, US
ZIP 483282337
Phone: 248-674-8199
Fax: 248-674-8205

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
4168987-10 MI MEDICAID 05
1376540286 MI NPI KACHADURIAN 01
3175190-10 MI MEDICAID 05
1437181146 MI NPI MELLEN 01
1891751509 MI NPI KOVAN 01
4661544-11 MI MEDICAID 05
4876314-11 MI MEDICAID 05
1205824505 MI NPI RUBIN 01
3225247-10 MI MEDICAID 05
CA2712 MI RAILROAD MEDICARE 01
1346212800 MI NPI BORIN 01
1356349062 MI NPI SILVERMAN 01
1013935071 MI NPI OSTERBERGER 01
1588661391 MI NPI ELKISS 01
700F313270 MI BCBS GROUP PROVIDER 01
4876216-11 MI MEDICAID 05

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1659096923

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Flint, MI

1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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