Individual provider · NPI-1

Hussein Diab

Pathology, Clinical Laboratory Director, Non-physician · Detroit, MI

NPI number1912669755
StatusActive
Last updated in NPPESOct 8, 2021

Details

NPI
1912669755
Entity type
Individual (NPI-1)
Name
Hussein Diab
Sex
Male
Sole proprietor
No
Enumeration date
Oct 8, 2021
Certification date
Oct 8, 2021
Last updated
Oct 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247ZC0005X Pathology, Clinical Laboratory Director, Non-physician––Yes
246QL0900X Spec/Tech, Pathology, Laboratory Management––
246RM2200X Technician, Pathology, Medical Laboratory––

Practice location

2727 2nd Ave Ste 4103
Detroit, MI 48201-2658

Phone 313-437-3422

Mailing address

Po Box 219
Dearborn Heights, MI 48127-0219

Phone 313-437-3422

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