Organization
CITY MEDICAL PC
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
30581 STEPHENSON HWY, MADISON HTS, MI 48071-1610
(248) 589-1770
(248) 589-2838
Mailing address
13636 DIX TOLEDO RD, SOUTHGATE, MI 48195-2432
(734) 283-2262
(734) 283-8121
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1010918
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D1010918
CLIA CERTIFICATE OF ACCREDITATION
MI
Enumeration date
05/14/2009
Last updated
05/14/2009
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