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: August 16, 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
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

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.

Legal Medicine
20755 GREENFIELD RD, SUITE # 802
SOUTHFIELD, MI 48075
Family Medicine (Hospice and Palliative Medicine)
20755 GREENFIELD RD, #1101
SOUTHFIELD, MI 48075
Clinic/Center (Physical Therapy)
20755 GREENFIELD RD
SOUTHFIELD, MI 48075
Home Health
20755 GREENFIELD RD, STE. 607
SOUTHFIELD, MI 48075
Preferred Provider Organization
20755 GREENFIELD RD, SUITE 803
SOUTHFIELD, MI 48075
Home Health
20755 GREENFIELD RD, STE 503
SOUTHFIELD, MI 48075
Family Medicine
20755 GREENFIELD RD, SUITE 107
SOUTHFIELD, MI 48075
Nurse Practitioner (Primary Care)
20755 GREENFIELD RD, #203
SOUTHFIELD, MI 48075

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 Great Lakes Research Institute LLC's NPI number?

The NPI number for Great Lakes Research Institute LLC is 1881357192. It was assigned to this organization in the NPPES registry on October 14, 2021.

Where is Great Lakes Research Institute LLC located?

Great Lakes Research Institute LLC is located at 20755 Greenfield Rd, Southfield, MI 48075. The listed phone number is (248) 864-5242.

What is Great Lakes Research Institute LLC's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Medical Laboratory, with taxonomy code 246RM2200X.

Does Great Lakes Research Institute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2268119) is associated with this NPI, valid through September 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Great Lakes Research Institute LLC was last updated on October 14, 2021. 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.