Organization
MICHIGAN DIAGNOSTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD A. BAQIR (PRESIDENT)
(248) 593-5246
Entity
Organization
Contact information
Practice address
18161 W 13 MILE RD, SUITE E3, SOUTHFIELD, MI 48076-1113
(248) 593-5246
(248) 593-5984
Mailing address
18161 W 13 MILE RD, SUITE E3, SOUTHFIELD, MI 48076-1113
(248) 593-5246
(248) 593-5984
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
247200000X
Other Technician
Primary
—
—
2472E0500X
EEG Technician
—
—
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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