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Organization
AZRA LABS, INC.
Active
Organization
AZRA LABS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHER JAVAID BASHIR J.D. (PRESIDENT/CEO)
(517) 206-1388
Entity
Organization
Contact information
Practice address
4136 LEGACY PKWY, SUITE 110, LANSING, MI 48911-4265
(517) 206-1388
Mailing address
2843 E GRAND RIVER AVE, BOX 260, EAST LANSING, MI 48823-6722
(517) 206-1388
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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