LAKE DIAGNOSTICS, INC.
NPI 1700821188
Clinic/Center in Waterford, MI

Active since June 18, 2006
3550 PONTIAC LAKE RD, WATERFORD, MI 48328(248) 674-8199(248) 674-8205 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Lake Diagnostics, Inc. NPPES

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

LAKE DIAGNOSTICS, INC. (NPI 1700821188) is a healthcare organization registered as a clinic/center in Waterford, Michigan and active in the NPI registry since June 2006. The organization lists Joel Leib, President, as its authorized official.

NPPES Registry Identity

NPI1700821188
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAKE DIAGNOSTICS, INC.
Location Address3550 PONTIAC LAKE RDWaterford, MI 48328-2337
Mailing Address31800 Northwestern Hwy, Suite 370Farmington Hills, MI 48334-1655 · (248) 626-0766 · Fax (248) 626-7498
Fax(248) 674-8205
Organization SubpartNo
Authorized OfficialJoel LeibPresident · (248) 626-0766
Enumeration DateJune 18, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1700821188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3550 PONTIAC LAKE RD, Waterford, MI 48328

Other Identifiers 1

OtherCOFEGMI · Billing Locator Code

Other Providers at the Same Location NPPES

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

Specialist
3550 PONTIAC LAKE RD
WATERFORD, MI 48328

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 Lake Diagnostics, Inc.'s NPI number?

The NPI number for Lake Diagnostics, Inc. is 1700821188. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Lake Diagnostics, Inc. located?

Lake Diagnostics, Inc. is located at 3550 Pontiac Lake Rd, Waterford, MI 48328. The listed phone number is (248) 674-8199.

What is Lake Diagnostics, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Lake Diagnostics, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.