ENVISION LAB
NPI 1528382991
Clinical Medical Laboratory in Livonia, MI

Active since March 15, 2010
17800 NEWBURGH RD, SUITE 103, LIVONIA, MI 48152(734) 464-9540 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Envision Lab NPPES

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

ENVISION LAB (NPI 1528382991) is a healthcare organization registered as a clinical medical laboratory in Livonia, Michigan and active in the NPI registry since March 2010. The organization lists Michael Wayne, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1528382991
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameENVISION MEDICAL GROUP PLLC
Location Address17800 NEWBURGH RD, SUITE 103Livonia, MI 48152-2700
Mailing Address15100 Mercantile DrDearborn, MI 48120-1223
Organization SubpartNo
Authorized OfficialMichael WayneManaging Member · (248) 348-8700
Enumeration DateMarch 15, 2010
Last NPPES UpdateFebruary 1, 2021
NPPES CertifiedFebruary 1, 2021
NPI 1528382991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

17800 NEWBURGH RD, Livonia, MI 48152

Other Names 1

Other NameEnvision Lab

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 23D0368116

V M D Primary Providers Eastern Michigan · Livonia, MI
Expired · Dec 22, 2025
CLIA Number23D0368116
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2023
Certificate Expiration DateDecember 22, 2025
Laboratory DirectorDr. Yaseen Mohiuddin
Laboratory Phone(734) 452-3060
Laboratory LocationV M D Primary Providers Eastern Michigan17800 Newburgh Road Suite 103, Livonia, MI 48152
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
17800 NEWBURGH RD, SUITE 103
LIVONIA, MI 48152
Family Medicine
17800 NEWBURGH RD, SUITE 103
LIVONIA, MI 48152
Family Medicine
17800 NEWBURGH RD, SUITE 103
LIVONIA, MI 48152
Physician Assistant
17800 NEWBURGH RD, SUITE 103
LIVONIA, MI 48152
Physician Assistant
17800 NEWBURGH RD, SUITE 103
LIVONIA, MI 48152
Family Medicine
17800 NEWBURGH RD, SUITE 103
LIVONIA, MI 48152
Clinical Medical Laboratory
17800 NEWBURGH RD, SUITE 103
LIVONIA, MI 48152
Physician Assistant (Medical)
17800 NEWBURGH RD
LIVONIA, MI 48152

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528382991, enumerated as an "organization" on March 15, 2010.

The provider is located at 17800 NEWBURGH RD SUITE 103 LIVONIA, MI 48152 and the phone number is (734) 464-9540.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.