Organization
ADVANCE DIAGNOSTICS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS BERKOVICH (OPERATING MANAGER)
(248) 935-6646
Entity
Organization
Contact information
Practice address
30500 NORTHWESTERN HWY STE 316C, FARMINGTON HILLS, MI 48334-3178
(248) 539-8781
Mailing address
30500 NORTHWESTERN HWY STE 316C, FARMINGTON HILLS, MI 48334-3178
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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