Lake Diagnostics, Inc.

LBN: Lake Diagnostics, Inc.
Lake Diagnostics, Inc. is an health care organization with primary practice located at 3550 Pontiac Lake Rd , Waterford MI 48328-2337. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lake Diagnostics, Inc. can be contacted via phone (248) 674-8199, or through Leib, Joel via phone (248) 674-8199.

Contact Information

Primary practice address
3550 Pontiac Lake Rd Waterford MI 48328-2337
Phone: (248) 674-8199
Fax: (248) 674-8205
Website:
Map and Directions
Authorized official contact:
Name: Leib, Joel Doctor of Osteopathy (DO)
Phone: (248) 674-8199

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1134130172
LBN Legal business name Lake Diagnostics, Inc.
DBA Doing business as
Authorized official Leib, Joel Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Dec 8th, 2011 - about 14 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 1134130172 NPPES
Michigan MEDICAID 4168987-10
Michigan Other 1376540286
Michigan MEDICAID 3175190-10
Michigan Other 1437181146
Michigan Other 1891751509
Michigan MEDICAID 4661544-11
Michigan MEDICAID 4876314-11
Michigan Other 1205824505
Michigan MEDICAID 3225247-10
Michigan Other CA2712
Michigan Other 1346212800
Michigan Other 1356349062
Michigan Other 1013935071
Michigan Other 1588661391
Michigan Other 700F313270
Michigan MEDICAID 4876216-11

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