Organization
BIOLIGHT THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SMITH (DIRECTOR)
(248) 456-0619
Entity
Organization
Contact information
Practice address
15600 W 7 MILE RD, DETROIT, MI 48235-2928
(248) 456-0619
(248) 456-0729
Mailing address
15600 W 7 MILE RD, DETROIT, MI 48235-2928
(248) 456-0619
(248) 456-0729
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
4301034892
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F32887
BCBS OF MI
MI
Enumeration date
05/08/2007
Last updated
08/28/2008
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