Organization
MEDTECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZLYN DAVIS LABORATORY DIRECTOR (OWNER)
(313) 425-1520
Entity
Organization
Contact information
Practice address
29777 TELEGRAPH RD, SOUTHFIELD, MI 48034-1303
(313) 425-1520
Mailing address
29777 TELEGRAPH RD, SOUTHFIELD, MI 48034-1303
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
10/21/2024
Last updated
11/04/2024
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