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Organization

ADVANCE DIAGNOSTICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS GHAZALA KHAN (BILLING MANAGER)
(734) 693-4011
Entity
Organization

Contact information

Practice address
12701 TELEGRAPH RD, STE 203, TAYLOR, MI 48180-6847
(734) 796-4042
Mailing address
12701 TELEGRAPH RD, STE 203, TAYLOR, MI 48180-6847
(734) 796-4042

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2085U0001X
Diagnostic Ultrasound Physician

Other

Enumeration date
09/06/2011
Last updated
09/07/2011
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