Organization
DMC CLINICAL LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ASFAW (OWNER)
(313) 871-1200
Entity
Organization
Contact information
Practice address
2888 W GRAND BLVD, DETROIT, MI 48202-2612
(313) 871-1200
(313) 871-1212
Mailing address
2888 W GRAND BLVD, DETROIT, MI 48202-2612
(313) 871-1200
(313) 871-1212
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
039079
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098417
—
MI
Enumeration date
08/30/2006
Last updated
08/22/2020
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