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Organization
PATHOLOGY SPECIALISTS OF SOUTHEAST MICHIGAN PC
Active
Organization
PATHOLOGY SPECIALISTS OF SOUTHEAST MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASIM AL-KHAFAJI MD (PRESIDENT)
(313) 343-3521
Entity
Organization
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(800) 288-8325
(419) 866-5453
Mailing address
PO BOX 72572, CLEVELAND, OH 44192-0002
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
403788
MI
Other
Enumeration date
09/29/2006
Last updated
02/19/2025
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