Organization
COUNTY OF OAKLAND
Active
Organization
COUNTY OF OAKLAND
Active
Other names
Oakland County Health Division Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SHYMKIW (ADMINSITRATOR)
(248) 452-2151
Entity
Organization
Contact information
Practice address
1200 N TELEGRAPH RD, BUILDING 32E, PONTIAC, MI 48341-1032
(248) 858-1310
Mailing address
1200 N TELEGRAPH RD, BUILDING 32E, PONTIAC, MI 48341-1032
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D0035890
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D0035890
CLIA CERTIFIED #
MI
01
—
23D0896256
CLIA CERTIFIED #(SOUTH)
—
Enumeration date
03/02/2017
Last updated
03/02/2017
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