Crystal Diagnostic Services

NPI #1154627982 in Novi, Michigan

Provider Information

NPI Number: 1154627982
Entity Type: Organization
Organization Name: Crystal Diagnostic Services
Primary Specialty: Specialist
Enumeration Date: Jan 26, 2011
Last Updated: Jan 26, 2011

Practice Location

Address: 39555 ORCHARD HILL PL
Address 2: SUITE 600
City: Novi
State: Michigan
ZIP Code: 48375-5374
Phone: (800) 998-9777

Authorized Official

Name: CORY GELMON
Title: CEO
Phone: (800) 998-9777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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