Organization
OUTEST MEDICAL
Active
Other names
Outest Neurodiagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S LUKASIK (PRESIDENT)
(248) 330-3520
Entity
Organization
Contact information
Practice address
2055 FRANKLIN, BLOOMFIELD TWP.,, MI 48302
(248) 499-6820
Mailing address
6418 MISSION COURT, WEST BLOOMFIELD, MI 48324-1398
(248) 330-3520
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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