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Organization
AT HOME DIAGNOSTICS, LLC
Active
Organization
AT HOME DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TOUGAS NP (MANAGING PARTNER)
(248) 466-0806
Entity
Organization
Contact information
Practice address
2075 E WEST MAPLE RD, COMMERCE TOWNSHIP, MI 48390-3816
(248) 466-0806
(810) 244-0226
Mailing address
8323 MABLEY HILL RD, FENTON, MI 48430-9455
(248) 466-0806
(810) 244-0226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
—
—
251E00000X
Home Health Agency
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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