1. Home
  2. Directory
  3. Michigan
  4. Southfield
  5. Technician Pathology
  6. NPI Profile

GREAT LAKES RESEARCH INSTITUTE LLC
NPI 1881357192
Technician, Pathology - Medical Laboratory in Southfield, MI

Active since October 14, 2021CLIA 23D2268119 · Waiver
20755 GREENFIELD RD, SOUTHFIELD, MI 48075(248) 864-5242 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Great Lakes Research Institute Llc NPPES

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

GREAT LAKES RESEARCH INSTITUTE LLC (NPI 1881357192) is a healthcare organization registered as a medical laboratory in Southfield, Michigan and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through September 6, 2026 and lists Diana Alexandria, Healthcare Consultant, as its authorized official.

NPPES Registry Identity

NPI1881357192
Entity TypeOrganization
Primary Taxonomy246RM2200X
Legal Business NameGREAT LAKES RESEARCH INSTITUTE LLC
Location Address20755 GREENFIELD RDSouthfield, MI 48075-5403
Mailing Address20755 Greenfield RdSouthfield, MI 48075-5403
Phone(248) 864-5242
Organization SubpartNo
Authorized OfficialDiana AlexandriaHealthcare Consultant · (313) 920-5522
Enumeration DateOctober 14, 2021
NPPES CertifiedOctober 14, 2021
✔ NPI 1881357192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · Medical LaboratoryTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RM2200X
20755 GREENFIELD RD, Southfield, MI 48075
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Waiver 23D2268119

Great Lakes Research Institute · Southfield, MI
Active · expires Sep 6, 2026
CLIA Number23D2268119
Laboratory TypeClinical Research Site
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorTheodore R. Falcon
Laboratory Phone(248) 864-5242
Laboratory LocationGreat Lakes Research Institute20755 Greenfield Road Suite 107, Southfield, MI 48075
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

HAMTRAMCK PHYSICAL THERAPHY AND REHAB SERVICES, INC.
Preferred Provider Organization
20755 GREENFIELD RD, SUITE 803
SOUTHFIELD, MI 48075
Oakland County (248) 552-0283
DIVI MD PC
Family Medicine
20755 GREENFIELD RD, STE #1004
SOUTHFIELD, MI 48075
Oakland County (248) 424-5090
DR. MAURICE ADAMS HALL M.D.
Specialist
20755 GREENFIELD RD, SUITE 100
SOUTHFIELD, MI 48075
Oakland County (248) 552-8100
DETROIT EYE CARE
Specialist
20755 GREENFIELD RD, SUITE 100
SOUTHFIELD, MI 48075
Oakland County (248) 552-8100
DR. HAMPTON JOSEPH MANSION D.O.
Family Medicine
20755 GREENFIELD RD, SUITE 107
SOUTHFIELD, MI 48075
Oakland County (248) 557-3777
DR. PEGGY RICHARDSON M.D.
Legal Medicine
20755 GREENFIELD RD, SUITE # 802
SOUTHFIELD, MI 48075
Oakland County (248) 557-7546
DR. JONATHAN A AGBEBIYI MD.,CMHT.,MBA.
Obstetrics & Gynecology
20755 GREENFIELD RD, SUITE 100
SOUTHFIELD, MI 48075
Oakland County (248) 436-1959
EUN-JUNG P KUCWAY MD PLLC
Physical Medicine & Rehabilitation
20755 GREENFIELD RD, SUITE 200
SOUTHFIELD, MI 48075
Oakland County (248) 765-2892

Frequently Asked Questions

What is GREAT LAKES RESEARCH INSTITUTE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1881357192, enumerated as an "organization" on October 14, 2021.

Where is the provider located?

The provider is located at 20755 GREENFIELD RD SOUTHFIELD, MI 48075 and the phone number is (248) 864-5242.

What is the provider's specialty?

Technician, Pathology with taxonomy code 246RM2200X and a focus in Medical Laboratory.