Organization
MIDWEST MEDICAL LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOUAD BAYDOUN (MANAGER)
(313) 544-3614
Entity
Organization
Contact information
Practice address
307 STEWART RD, MONROE, MI 48162-4393
(313) 544-3614
Mailing address
307 STEWART RD, MONROE, MI 48162-4393
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MI
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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