# MEDICAL DIAGNOSTIC LAB, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184778144
- **Authorized official:** PETER J KALABAT M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (248) 649-8700

## Contact information

- **Practice address:** 1551 W BIG BEAVER RD, D15, TROY, MI 48084-3528
- **Practice address phone:** (248) 659-8700
- **Mailing address:** 1551 W BIG BEAVER RD STE D15, TROY, MI 48084-3528
- **Mailing address phone:** (248) 659-8700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 475033 | MI | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 12/17/2009