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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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