Divine Diagnostic Company

LBN: Divine Diagnostic Company
Divine Diagnostic Company is an health care organization with primary practice located at 5005 E 14 Mile Rd Ste 100 , Sterling Heights MI 48310-6533. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Divine Diagnostic Company can be contacted via phone (586) 795-3815, or through Alaka, Suha via phone (586) 713-8397.

Contact Information

Primary practice address
5005 E 14 Mile Rd Ste 100 Sterling Heights MI 48310-6533
Phone: (586) 795-3815
Fax: (586) 620-6062
Website:
Map and Directions
Authorized official contact:
Name: Alaka, Suha
Phone: (586) 713-8397

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1881901668
LBN Legal business name Divine Diagnostic Company
DBA Doing business as
Authorized official Alaka, Suha
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2010
Last updated Aug 15th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881901668 NPPES
Other 0E03743 BC
MEDICAID 1881901668 BC

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