Organization
HENRY FORD MACOMB ANCILLARY SERVICES
Active
Parent organization
HENRY FORD MACOMB HOSPITAL CORPORATION
Other names
HENRY FORD MACOMB LAB SERVICES-MT. CLEMENS
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENRY FORD MACOMB HOSPITAL CORPORATION
Authorized official
TERRY GOODBALIAN (VP FINANCE & CFO HFMACOMB)
(586) 263-2705
Entity
Organization
Contact information
Practice address
133 S MAIN ST, MOUNT CLEMENS, MI 48043-2308
(586) 468-1600
(586) 465-0329
Mailing address
15855 19 MILE RD, ATTN: TERRY GOODBALIAN, CLINTON TOWNSHIP, MI 48038-3504
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
03/04/2015
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