Organization
WORLD WIDE TOXICOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P CLEMMON (PRESIDENT)
(248) 747-2629
Entity
Organization
Contact information
Practice address
307 STEWART RD, MONROE, MI 48162-4393
(248) 747-2629
(248) 671-0442
Mailing address
42350 GRAND RIVER AVE, NOVI, MI 48375-1838
(888) 930-6458
(248) 671-0442
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
MI
Enumeration date
08/10/2017
Last updated
08/10/2017
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