Organization
ADVANCE TOXICOLOGY LABORATORIES, LLC
Active
Organization
ADVANCE TOXICOLOGY LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSMAN AHMAD (OWNER)
(248) 885-9775
Entity
Organization
Contact information
Practice address
24555 SOUTHFIELD RD STE L90, SOUTHFIELD, MI 48075-2738
(248) 885-9775
Mailing address
4950 PEGGY ST, WEST BLOOMFIELD, MI 48322-4420
(248) 885-9775
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MI
Other
Enumeration date
10/29/2014
Last updated
01/20/2015
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