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Lake Diagnostics, Inc.

Specialist in Waterford, MI · enumerated 2006 · authorized official Joel Leib, President/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134130172

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Diagnostics, Inc.
Practice address 3550 Pontiac Lake Rd, Waterford, MI, 48328
Fax (248) 674-8205
Enumeration date Aug 11, 2006
Last updated in NPPES Dec 8, 2011

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Joel Leib
Title President/Owner

Other identifiers

Identifier Type State Issuer
4168987-10 Medicaid MI -
1376540286 Other MI NPI KACHADURIAN
3175190-10 Medicaid MI -
1437181146 Other MI NPI MELLEN
1891751509 Other MI NPI KOVAN
4661544-11 Medicaid MI -
4876314-11 Medicaid MI -
1205824505 Other MI NPI RUBIN
3225247-10 Medicaid MI -
CA2712 Other MI RAILROAD MEDICARE
1346212800 Other MI NPI BORIN
1356349062 Other MI NPI SILVERMAN
1013935071 Other MI NPI OSTERBERGER
1588661391 Other MI NPI ELKISS
700F313270 Other MI BCBS GROUP PROVIDER
4876216-11 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lake Diagnostics, Inc.?
Lake Diagnostics, Inc. is registered in NPPES as a Specialist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-08.