Organization
MICHIGAN INNOVATIVE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI GABALI MD (MEDICAL DIRECTOR)
(734) 717-2895
Entity
Organization
Contact information
Practice address
50505 SCHOENHERR RD STE 150, SHELBY TOWNSHIP, MI 48315-3141
(586) 991-6985
(248) 927-5004
Mailing address
50505 SCHOENHERR RD STE 150, SHELBY TOWNSHIP, MI 48315-3141
(734) 717-2895
(248) 927-5004
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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