Organization
SPARTAN DIAGNOSTICS LLC
Active
Other names
Spartan MDX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DORIAN BLAKE-LEE WRIGHT (CFO)
(734) 368-2686
Entity
Organization
Contact information
Practice address
30600 TELEGRAPH RD STE 1375A, BINGHAM FARMS, MI 48025-4530
(313) 900-5948
(888) 893-8920
Mailing address
1098 ANN ARBOR RD W # 545, PLYMOUTH, MI 48170-2129
(734) 368-2686
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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