Organization
CRYSTAL DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY GELMON (CEO)
(800) 998-9777
Entity
Organization
Contact information
Practice address
39555 ORCHARD HILL PL, SUITE 600, NOVI, MI 48375-5374
(800) 998-9777
Mailing address
39555 ORCHARD HILL PL, SUITE 600, NOVI, MI 48375-5374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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