Organization
GREAT LAKES MEDICAL LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSAIN ALI SALEH M.D. (PRESIDENT)
(248) 770-8707
Entity
Organization
Contact information
Practice address
13530 MICHIGAN AVE, SUITE 248, DEARBORN, MI 48126-3574
(248) 770-8707
Mailing address
13530 MICHIGAN AVE, SUITE 248, DEARBORN, MI 48126-3574
(248) 770-8707
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/26/2011
Last updated
09/17/2013
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