is a Clinical Medical Laboratory in , . practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for is 1841409059. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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NPI Number Detail
NPI Number | 1841409059 |
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Provider Mailing Address Detail
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Provider's Primary Taxonomy Detail
Speciality | Clinical Medical Laboratory |
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Taxonomy | 291U00000X |
Licence No | 23D0374006 |
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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690B515100 | MI | BLUE SHIELD PIN NUMBER |
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