Organization
MICHAEL LALA MD PC
Active
Other names
south allen radiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K LALA M.D. (PRESIDENT)
(248) 225-6909
Entity
Organization
Contact information
Practice address
3815 PINE HARBOR DR, WEST BLOOMFIELD, MI 48323-1650
(248) 225-6909
(248) 681-8589
Mailing address
3815 PINE HARBOR DR, WEST BLOOMFIELD, MI 48323-1650
(248) 225-6909
(248) 681-8589
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301032840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106018
—
MI
01
—
3008214141
BCBS OF MICHIGAN
MI
Enumeration date
01/13/2011
Last updated
03/30/2011
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