Organization
INFORM DIAGNOSTICS, INC
Active
Organization
INFORM DIAGNOSTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA ARLENE SIMONDS (SVP, COMPLIANCE, ETHICS & QUALITY)
(214) 277-8700
Entity
Organization
Contact information
Practice address
13854 LAKESIDE CIR, STERLING HEIGHTS, MI 48313-1316
(586) 685-3102
Mailing address
6655 N MACARTHUR BLVD, ATTN: PROVIDER ENROLLMENT, IRVING, TX 75039-2443
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
10/28/2019
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