NPI 1497378145

Preventive Healthcare Technologies LLC

Organisation Physiological Laboratory Wixom, MI

Practice location

Address: 29560 Beck Rd, Wixom, MI 48393-2883
Phone: (833) 463-9633

Authorised official

Name: Dominic H Siwik
Title: Ceo
Phone: (833) 463-9633

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Michigan →

Registry record

NPI: 1497378145
Entity type: Organization
NPI issued: 28 May 2020
Record last updated: 24 Apr 2023

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.