Organization
DETROIT BIO MEDICAL LABORATORIES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND P ZAKARIA MS (MANAGER)
(248) 471-4111
Entity
Organization
Contact information
Practice address
1035 E WILCOX AVE, WHITE CLOUD, MI 49349-8794
(231) 689-1652
(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
—
3077879
—
MI
Enumeration date
04/24/2007
Last updated
08/22/2020
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