Immune & Diagnostic Laboratory INC.
Clinical Medical Laboratory in Farmington Hills, MI. Organization (NPI-2).
Details
- NPI
- 1083770366
- Entity type
- Organization (NPI-2)
- Legal business name
- Immune & Diagnostic Laboratory INC.
- Organization subpart
- No
- Enumeration date
- Dec 29, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 23D0898446 | MI | Yes |
Practice location
31700 W 12 Mile RdSte 220
Farmington Hills, MI 48334-4424
Phone 248-848-9000 · Fax 248-489-0058
Mailing address
31700 W 12 Mile RdSte 220
Farmington Hills, MI 48334-4424
Phone 248-848-9000 · Fax 248-489-0058
Authorized official
Mohamed B Salkini
President
2488489000
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