Organization
HISTOLOGY ASSOCIATES INC
Active
Organization
HISTOLOGY ASSOCIATES INC
Active
Other names
Acculab Dx
Organization subpart
No
Provider details
NPI number
Authorized official
FADLALLAH KASSEM (OWNER)
(313) 979-0792
Entity
Organization
Contact information
Practice address
29430 FORD RD, GARDEN CITY, MI 48135-2318
(313) 979-0792
(586) 774-4220
Mailing address
29430 FORD RD, GARDEN CITY, MI 48135-2318
(313) 979-0792
(586) 774-4220
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125102
—
MI
01
—
23D0650582
CLIA
MI
Enumeration date
05/24/2005
Last updated
07/28/2026
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