NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

ENVISION LAB
LBN ENVISION MEDICAL GROUP PLLC

Clinical Medical Laboratory

Contact Information

ENVISION LAB
LBN ENVISION MEDICAL GROUP PLLC
17800 NEWBURGH RD
SUITE 103
LIVONIA, MI48152-2700
 Phone: 734-464-9540
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X
Indicates primary specialty

NPI Profile & details for ENVISION LAB

NPI Number 1528382991
LBN Legal business name ENVISION MEDICAL GROUP PLLC
DBA Doing business as ENVISION LAB
Authorized official MICHAEL WAYNE - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2010
Last updated 03/15/2010 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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