Organization
GARDEN CITY DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY LYDIA KIMMEL RN, PHD, CHMM (OWNER/ASSOCIATE LABORATORY DIRECTOR)
(313) 836-2381
Entity
Organization
Contact information
Practice address
28050 FORD RD STE B, GARDEN CITY, MI 48135-2967
(734) 799-1338
(313) 762-1718
Mailing address
28050 FORD RD STE C, GARDEN CITY, MI 48135-2967
(313) 836-2381
(313) 762-1718
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D2035755
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D2035755
CMS CLIA
MI
Enumeration date
05/01/2012
Last updated
05/01/2012
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