OrganizationActive
Banyan Sober Living of Michigan
NPI 1245650035 · Clinical Medical Laboratory · Ypsilanti, MI
Banyan Sober Living of Michigan is a Clinical Medical Laboratory organization in Ypsilanti, MI (NPI 1245650035).
Provider details
- NPI number
- 1245650035
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Mackenzie Koonce, Coo(231) 233-8474
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1023 Washtenaw Rd
Ypsilanti, MI 48197-2161
Phone: (231) 233-8474
Fax: (734) 264-0732
Street-level locationGet directions
Mailing address
Po Box 272
Milford, MI 48381-0272
Registry dates
- Enumerated
- 2014-04-21
- Last updated
- 2014-04-21
Frequently asked questions
- What is Banyan Sober Living of Michigan's NPI number?
- Banyan Sober Living of Michigan's National Provider Identifier (NPI) is 1245650035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Banyan Sober Living of Michigan?
- Banyan Sober Living of Michigan is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Banyan Sober Living of Michigan located?
- Banyan Sober Living of Michigan's practice location on file with NPPES is 1023 Washtenaw Rd, Ypsilanti, MI 48197-2161.
- What is Banyan Sober Living of Michigan's phone number?
- The practice phone number listed in the NPPES registry for Banyan Sober Living of Michigan is (231) 233-8474.
- Who is the authorized official for Banyan Sober Living of Michigan?
- The authorized official listed on Banyan Sober Living of Michigan's NPPES record is Mackenzie Koonce, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Banyan Sober Living of Michigan's NPI active?
- Yes — Banyan Sober Living of Michigan's NPI (1245650035) is active in the NPPES registry as of the last update on 2014-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.