Organization
MADISON COMMUNITY HOSPITAL INC
Active
Other names
Samaritan Labs
Organization subpart
No
Provider details
NPI number
Authorized official
RAM GUNABALAN MD (MANAGER)
(248) 619-9771
Entity
Organization
Contact information
Practice address
17200 E 10 MILE RD, SUITE 250, EASTPOINTE, MI 48021-3355
(248) 619-9771
(248) 583-8969
Mailing address
30781 STEPHENSON HWY, MADISON HTS, MI 48071-1618
(248) 284-2316
(248) 583-8969
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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