Organization
ANY PHYSICIANS REFERENCE LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAZHAR KHAN (PRESIDENT)
(734) 421-6415
Entity
Organization
Contact information
Practice address
24361 GREENFIELD RD, STE #209-A, SOUTHFIELD, MI 48075-3139
(734) 421-6415
(734) 421-9087
Mailing address
29771 GREENLAND ST, LIVONIA, MI 48154-3225
(734) 421-6415
(734) 421-9087
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D2009844
MI
Other
Enumeration date
07/27/2010
Last updated
01/07/2011
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