Organization
HERITAGE LABS, INC.
Active
Other names
ION Diagnostics Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
NAMEER KIMINAIA (COO)
(248) 720-4080
Entity
Organization
Contact information
Practice address
30600 TELEGRAPH RD STE 1375, BINGHAM FARMS, MI 48025-4589
(248) 720-4080
(248) 712-6100
Mailing address
30600 TELEGRAPH RD STE 1375, BINGHAM FARMS, MI 48025-4589
(248) 720-4080
(248) 712-6100
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790274678
—
MI
Enumeration date
05/06/2018
Last updated
12/30/2024
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