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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