Organization · NPI-2

Access Diagnostic INC

Clinical Medical Laboratory · Detroit, MI

NPI number1972520955
StatusActive
Last updated in NPPESApr 20, 2008

Details

NPI
1972520955
Entity type
Organization (NPI-2)
Legal business name
Access Diagnostic INC
Organization subpart
No
Enumeration date
Jul 16, 2006
Last updated
Apr 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical LaboratoryJR219490MIYes

Practice location

5575 Conner St
Detroit, MI 48213-6400

Phone 313-833-6388

Mailing address

5575 Conner St
Detroit, MI 48213-6400

Phone 313-833-6388

Authorized official

Jamie Rey
Ceo
3138336388

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