Organization
PHI TEC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WARREN RUDOWSKI II PHD (PRESIDENT CEO)
(586) 489-1193
Entity
Organization
Contact information
Practice address
15760 19 MILE RD, SUITE F, CLINTON TWP, MI 48038-6319
(586) 489-1193
(586) 416-2580
Mailing address
15760 19 MILE RD, SUITE F, CLINTON TWP, MI 48038-6319
(586) 489-1193
(586) 416-2580
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R320745866906
DRIVER LICENSE
MI
Enumeration date
01/09/2007
Last updated
08/22/2020
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