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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
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