Lifelab Kids Foundation

LBN: Lifelab Kids Foundation
Lifelab Kids Foundation is an health care organization with primary practice located at 3178 Hilton Rd , Ferndale MI 48220-1059. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Lifelab Kids Foundation can be contacted via phone (248) 629-4600, or through Depa, Jai Reddy via phone (248) 629-4600.

Contact Information

Primary practice address
3178 Hilton Rd Ferndale MI 48220-1059
Phone: (248) 629-4600
Fax: (248) 331-2744
Website:
Map and Directions
Authorized official contact:
Name: Depa, Jai Reddy
Phone: (248) 629-4600

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1992286306
LBN Legal business name Lifelab Kids Foundation
DBA Doing business as
Authorized official Depa, Jai Reddy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2018
Last updated Mar 20th, 2024 - about 8 months 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 1992286306 NPPES
Michigan MEDICAID MI17359

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