Organization
DETROIT VISITING LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARES YASIN M.D. (CEO/PRESIDENT)
(734) 421-0900
Entity
Organization
Contact information
Practice address
16989 FARMINGTON RD, LIVONIA, MI 48154-2946
(734) 421-0900
(734) 421-0700
Mailing address
16989 FARMINGTON RD, LIVONIA, MI 48154-2946
(734) 421-0900
(734) 421-0700
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
10/29/2008
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