Provider Demographics
NPI:1710718812
Name:KEEPIN THE FLOW DIAGNOSTICS
Entity type:Organization
Organization Name:KEEPIN THE FLOW DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIERRA
Authorized Official - Middle Name:MONAE
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:586-741-1948
Mailing Address - Street 1:34525 GRESFORD DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-3198
Mailing Address - Country:US
Mailing Address - Phone:586-741-1948
Mailing Address - Fax:
Practice Address - Street 1:36358 GARFIELD RD STE 3A
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48035-1170
Practice Address - Country:US
Practice Address - Phone:586-741-1948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-10
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse