Organization
TRICITY LABORATORY, LLC
Active
Organization
TRICITY LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAQAR Q. MIAN (MANAGING MEMBER)
(989) 780-4415
Entity
Organization
Contact information
Practice address
24555 SOUTHFIELD RD, SUITE 150, SOUTHFIELD, MI 48075-2738
(989) 780-4415
Mailing address
3265 N CHURCHHILL LANE, UNIT 4, SAGINAW, MI 48603
(989) 780-4415
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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