Organization
UNITED MEDICAL LABORATORY LLC
Active
Organization
UNITED MEDICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEOFIL GHERASIM (OWNER)
(248) 837-0868
Entity
Organization
Contact information
Practice address
4520 FIRESTONE ST STE C, DEARBORN, MI 48126-4602
(248) 837-0868
Mailing address
4520 FIRESTONE ST STE C, DEARBORN, MI 48126-4602
(248) 837-0868
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
12/03/2020
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