PREVENTIVE HEALTHCARE TECHNOLOGIES LLC
NPI 1497378145
Physiological Laboratory in Wixom, MI

Active since May 28, 2020
29560 BECK RD, WIXOM, MI 48393(833) 463-9633 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Preventive Healthcare Technologies Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREVENTIVE HEALTHCARE TECHNOLOGIES LLC (NPI 1497378145) is a healthcare organization registered as a physiological laboratory in Wixom, Michigan and active in the NPI registry since May 2020. The organization maintains 2 additional practice locations and lists Dominic H Siwik, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497378145
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePREVENTIVE HEALTHCARE TECHNOLOGIES LLC
Location Address29560 BECK RDWixom, MI 48393-2883
Mailing Address29560 Beck RdWixom, MI 48393-2883 · (833) 463-9633
Organization SubpartNo
Authorized OfficialDominic H SiwikCeo · (833) 463-9633
Enumeration DateMay 28, 2020
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
NPI 1497378145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
29560 BECK RD, Wixom, MI 48393

Secondary Practice Locations 2

Location 16047 Tyvola Glen CirCharlotte, NC 28217-6431 · Phone (313) 655-5400
Location 2201 Sigma Dr Ste 300Summerville, SC 29486-7722 · Phone (313) 655-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Preventive Healthcare Technologies LLC's NPI number?

The NPI number for Preventive Healthcare Technologies LLC is 1497378145. It was assigned to this organization in the NPPES registry on May 28, 2020.

Where is Preventive Healthcare Technologies LLC located?

Preventive Healthcare Technologies LLC is located at 29560 Beck Rd, Wixom, MI 48393. The listed phone number is (833) 463-9633.

What is Preventive Healthcare Technologies LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Preventive Healthcare Technologies LLC was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.