Organization
DETROIT BIO MEDICAL LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND P ZAKARIA M.S. (MANAGER)
(248) 471-4111
Entity
Organization
Contact information
Practice address
23955 FREEWAY PARK DR, FARMINGTON HILLS, MI 48335-2817
(248) 471-4111
(248) 471-2340
Mailing address
23955 FREEWAY PARK DR, FARMINGTON HILLS, MI 48335-2817
(248) 471-4111
(248) 471-2340
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
002174
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161080516
—
MI
Enumeration date
01/03/2007
Last updated
04/20/2008
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