Organization
WESTERN SLOPE LABORATORY LLC
Active
Parent organization
COVENTRY DIAGNOSTICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENTRY DIAGNOSTICS LLC
Authorized official
MR. THOMAS L. MCCORMICK (OWNER/CEO)
(248) 307-1168
Entity
Organization
Contact information
Practice address
1197 ROCHESTER RD, SUITE K, TROY, MI 48083-6031
(248) 307-1168
(248) 307-1189
Mailing address
1197 ROCHESTER RD, SUITE K, TROY, MI 48083-6031
(248) 307-1168
(248) 307-1189
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1047507
MI
Other
Enumeration date
07/06/2009
Last updated
11/20/2014
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