Organization
KKL RADIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIK LALA MD (MEDICAL DIRECTOR)
(313) 945-5450
Entity
Organization
Contact information
Practice address
3781 INDIAN TRL, ORCHARD LAKE, MI 48324-1626
(248) 225-6909
Mailing address
3781 INDIAN TRL, ORCHARD LAKE, MI 48324-1626
(248) 225-6909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301082568
MI
Other
Enumeration date
05/20/2014
Last updated
12/19/2014
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