NPI 1063924819

Diagnostic Hematology, PC

Organisation Clinical Medical Laboratory Southfield, MI

Practice location

Address: 24725 W. Twelve Mile Road Suite 118, Southfield, MI 48034
Phone: (248) 450-3179
Fax: (248) 327-6030
Mailing address: 24725 W. Twelve Mile Road, Southfield, MI 48034

Authorised official

Name: Moe Badreddine
Title: Adminstration
Phone: (248) 450-3179

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Michigan →

Registry record

NPI: 1063924819
Entity type: Organization
NPI issued: 2 Nov 2017
Record last updated: 10 Jan 2018

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.