Organization
CITY MEDICAL
Active
Parent organization
CITY MEDICAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY MEDICAL PC
Authorized official
THOMAS M PINSON DO (LABORATORY DIRECTOR)
(734) 283-2262
Entity
Organization
Contact information
Practice address
13636 DIX TOLEDO RD, SOUTHGATE, MI 48195-2432
(734) 283-2262
(734) 283-8121
Mailing address
13636 DIX TOLEDO RD, SOUTHGATE, MI 48195-2432
(734) 283-2262
(734) 283-8121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101009701
MI
291U00000X
Clinical Medical Laboratory
Primary
23D0998952
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D0998952
CLIA CERTIFICATE OF COMPLIANCE
MI
Enumeration date
05/15/2009
Last updated
05/15/2009
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