Lake Diagnostics, Inc., NPI 1134130172
Specialist in Waterford, MI, US
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 |
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 | |
| Taxonomy Name | Specialist |
| Classification | |
| Group | |
| 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. |
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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| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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MD Bridget Wiater Individual |
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M.D. Ann E Swinford Individual |
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LPC Jonathan Hart Individual |
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DDS, MS Suhaib Alqawasmeh Individual |
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Alexis K Willmore Individual |
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DR. DO, MPH Jimmy Wayne Brandon Individual |
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Logan Morse Individual |
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