Organization
PRUDENT DIAGNOSTICS LABORATORIES
Active
Other names
Medical Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAJID MORIDANI PHD (DIRECTOR)
(414) 949-1355
Entity
Organization
Contact information
Practice address
2564 N 124TH ST APT 412, MILWAUKEE, WI 53226-1050
(414) 949-1355
Mailing address
2564 N 124TH ST APT 412, MILWAUKEE, WI 53226-1050
(414) 949-1355
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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