Organization
HOSPITAL CONSOLIDATED LABORATORIES
Active
Organization
HOSPITAL CONSOLIDATED LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY R. HERSCHMAN M.D. (LABORATORY DIRECTOR)
(248) 849-3266
Entity
Organization
Contact information
Practice address
23775 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-3338
(248) 355-9622
(248) 355-3557
Mailing address
22255 GREENFIELD RD, SUITE #501, SOUTHFIELD, MI 48075-3710
(248) 226-6163
(248) 424-9844
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3348443
—
MI
05
—
3381519
—
MI
01
—
690F3161000
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/10/2006
Last updated
11/02/2007
Update your record
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