Organization
CITY MEDICAL PC
Active
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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