OrganizationActive
Lakeside Transport Group, Inc
NPI 1568895027 · Transportation Broker · Southfield, MI
Provider details
- NPI number
- 1568895027
- Entity type
- Organization
- Primary specialty
- Transportation BrokerTransportation Services
- Organization subpart
- No
- Authorized official
- Domonique Clements, Manager(248) 228-2266
- License
- L1582 (MI)
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(77/100 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
24724 Farmbrook Rd
Southfield, MI 48034-1211
Phone: (248) 228-2266
Street-level locationGet directions
Mailing address
24724 Farmbrook Rd
Southfield, MI 48034-1211
Registry dates
- Enumerated
- 2013-08-19
- Last updated
- 2013-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.