Organization
LAKESHORE DIAGNOSTICS ULTRASOUND, CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER J CHISLEA RMC (OFFICE MANAGER)
(989) 892-8444
Entity
Organization
Contact information
Practice address
1003 WOODSIDE AVE, ESSEXVILLE, MI 48732-1234
(989) 892-8444
(989) 892-7455
Mailing address
1003 WOODSIDE AVE, ESSEXVILLE, MI 48732-1234
(989) 892-8444
(989) 892-7455
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
MI
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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