Whalio Doctors

NPI 1053132274

Medtech LLC

Organisation Clinical Medical Laboratory Southfield, MI

Practice location

Address
29777 Telegraph Rd, Southfield, MI 48034-1303
Phone
(313) 425-1520

Authorised official

Name
Jazlyn Davis
Title
Owner
Phone
(313) 425-1520

Registered specialties (2)

Clinical Medical Laboratory Primary
Laboratories Taxonomy 291U00000X
Point of Service
Managed Care Organizations Taxonomy 305S00000X

Registry record

NPI
1053132274
Entity type
Organization
NPI issued
21 Oct 2024
Record last updated
4 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.