Organization
PEGASUS DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUFIQUL ISLAM (PRESIDENT/CEO)
(313) 312-3932
Entity
Organization
Contact information
Practice address
3686 BRANDI DR, STERLING HEIGHTS, MI 48310
(313) 312-3932
Mailing address
3686 BRANDI DR, STERLING HEIGHTS, MI 48310-2538
(313) 312-3932
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
08/08/2018
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