Organization
MICHIGAN MEDICAL LABORATORY LLC
Active
Organization
MICHIGAN MEDICAL LABORATORY LLC
Active
Other names
dba National Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MARY KNISLEY CEO (CHIEF EXECUTIVE OFFICER)
(734) 502-4104
Entity
Organization
Contact information
Practice address
5732 ALEXIS ROAD, SYLVANIA, OH 43560
(248) 254-3950
(248) 254-3951
Mailing address
5732 ALEXIS ROAD, SYLVANIA, OH 43560
(248) 254-3950
(248) 254-3951
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D2063832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H28665
BCBSM
MI
01
—
OH28665
BLUE CROSS BLUE SHEILD
OH
Enumeration date
01/20/2014
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up