Organization
FUTURE DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANWAR BAKER (OWNER)
(248) 505-4890
Entity
Organization
Contact information
Practice address
4619 ALLEN RD, ALLEN PARK, MI 48101-2765
(313) 656-1199
Mailing address
4619 ALLEN RD, ALLEN PARK, MI 48101-2765
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
05/07/2019
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