Organization · NPI-2

Dmc Clinical Lab INC

Clinical Medical Laboratory · Detroit, MI

NPI number1124137179
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1124137179
Entity type
Organization (NPI-2)
Legal business name
Dmc Clinical Lab INC
Organization subpart
No
Enumeration date
Aug 30, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory039079MIYes

Practice location

2888 W Grand Blvd
Detroit, MI 48202-2612

Phone 313-871-1200 · Fax 313-871-1212

Mailing address

2888 W Grand Blvd
Detroit, MI 48202-2612

Phone 313-871-1200 · Fax 313-871-1212

Authorized official

Elizabeth Asfaw
Owner
3138711200

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Medical Laboratory providers in Detroit, MI