NPI 1134130172

Lake Diagnostics, INC.

Organisation Specialist Waterford, MI

Practice location

Address: 3550 Pontiac Lake Rd, Waterford, MI 48328-2337
Phone: (248) 674-8199
Fax: (248) 674-8205

Authorised official

Name: Joel Leib
Title: President/Owner
Phone: (248) 674-8199

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1134130172
Entity type: Organization
NPI issued: 11 Aug 2006
Record last updated: 8 Dec 2011

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.