Organization
MICHIGAN MEDICAL LABORATORY LLC
Active
Other names
dba National Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MARY KNISLEY CEO (CHIEF EXECUTIVE OFFICER)
(734) 502-4104
Entity
Organization
Contact information
Practice address
5732 ALEXIS ROAD, SYLVANIA, OH 43560
(248) 254-3950
(248) 254-3951
Mailing address
5732 ALEXIS ROAD, SYLVANIA, OH 43560
(248) 254-3950
(248) 254-3951
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D2063832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H28665
BCBSM
MI
01
—
OH28665
BLUE CROSS BLUE SHEILD
OH
Enumeration date
01/20/2014
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us