Organization
MVP DIAGNOSTIC LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN HAYES (AUTHORIZED OFFICIAL)
(248) 353-6200
Entity
Organization
Contact information
Practice address
28300 FRANKLIN RD STE 100, SOUTHFIELD, MI 48034-1657
(248) 353-6200
Mailing address
3785 BAY RD, SAGINAW, MI 48603-2433
(989) 791-2455
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
02/23/2021
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