NPI 1104860212

Universal Clinic P.C.

Organisation Legal Medicine Southfield, MI

Practice location

Address: 18597 W 10 Mile Rd STE #1, Southfield, MI 48075-2663
Phone: (248) 569-5100
Fax: (248) 569-4774
Mailing address: PO Box 198, Southfield, MI 48037

Authorised official

Name: Marina Ilyayev
Title: Manager
Phone: (248) 569-5100

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X

Other Legal Medicine providers in Michigan →

Registry record

NPI: 1104860212
Entity type: Organization
NPI issued: 16 Jun 2006
Record last updated: 22 Aug 2020

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.