Organization
DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERDELL TOLBERT (VICE PRESIDENT OF LABORATORY SERVIC)
(313) 993-0724
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST, 2C UHC, DETROIT, MI 48201-2153
(313) 993-0724
(313) 745-9661
Mailing address
4201 SAINT ANTOINE ST, 2C UHC, DETROIT, MI 48201-2153
(313) 993-0724
(313) 745-9661
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2888352
—
MI
Enumeration date
01/15/2007
Last updated
12/28/2007
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