Lake Diagnostics, Inc. in Waterford - Specialist
Lake Diagnostics, Inc. - NPI 1134130172
Lake Diagnostics, Inc. is a Specialist in Waterford, Michigan. Lake Diagnostics, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lake Diagnostics, Inc. is 1134130172. The last update date is 2011-12-08.
Lake Diagnostics, Inc.'s current location address is 3550 Pontiac Lake Rd, Waterford, Michigan. You can contact this provider via phone number 2486748199 and fax number 2486748205. The mailing address for Lake Diagnostics, Inc. is 3550 Pontiac Lake Rd, Waterford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Diagnostics, Inc. |
|---|---|
| Address | 3550 Pontiac Lake Rd, Waterford, Michigan |
| Phone Number | 2486748199 |
| Fax Number | 2486748205 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Leib Joel |
| Credentials | D.O. |
| Telephone Number | 2486748199 |
NPI Number Detail
| NPI Number | 1134130172 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2011-12-08 |
Provider Mailing Address Detail
| Address | 3550 Pontiac Lake Rd |
|---|---|
| City | Waterford |
| State | Michigan (MI) |
| Post Code | 483282337 |
| Phone Number | 2486748199 |
| Fax Number | 2486748205 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4168987-10 | MI | -- | |
| 1376540286 | MI | NPI KACHADURIAN | |
| 3175190-10 | MI | -- | |
| 1437181146 | MI | NPI MELLEN | |
| 1891751509 | MI | NPI KOVAN | |
| 4661544-11 | MI | -- | |
| 4876314-11 | MI | -- | |
| 1205824505 | MI | NPI RUBIN | |
| 3225247-10 | MI | -- | |
| CA2712 | MI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lake Diagnostics, Inc. by the Centers for Medicare & Medicaid Services?
The Lake Diagnostics, Inc. has been assigned the NPI (National Provider Identifier) 1134130172 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lake Diagnostics, Inc.?
The Lake Diagnostics, Inc. is situated at 3550 Pontiac Lake Rd, in the city of Waterford, state of MI, with the zip code 483282337.
What is Lake Diagnostics, Inc.'s area of expertise and its corresponding taxonomy classification?
The Lake Diagnostics, Inc.'s field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134130172 to Lake Diagnostics, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1134130172 to Lake Diagnostics, Inc. on 2006-08-11.
When was the Lake Diagnostics, Inc.'s information last updated?
The Lake Diagnostics, Inc.'s information was last updated on 2011-12-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL