Organization
HERITAGE LABS, INC.
Active
Organization
HERITAGE LABS, INC.
Active
Other names
Ion Diagnostics Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
NAMEER KIMINAIA (COO)
(616) 327-7800
Entity
Organization
Contact information
Practice address
30600 TELEGRAPH RD STE 1375, BINGHAM FARMS, MI 48025-4589
(248) 720-4080
(877) 466-6399
Mailing address
30600 TELEGRAPH RD STE 1375, BINGHAM FARMS, MI 48025-4589
(248) 535-8088
(877) 466-6399
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D2250013
CLIA IDENTIFICATION NUMBER
MI
Enumeration date
11/29/2023
Last updated
12/07/2023
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