Western Slope Laboratory LLC

NPI #1164651618 in Troy, Michigan

Provider Information

NPI Number
1164651618
Entity Type
Organization
Organization Name
Western Slope Laboratory LLC
Subpart
Yes (part of a larger organization)
Parent Organization
COVENTRY DIAGNOSTICS LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 6, 2009
Last Updated
Nov 20, 2014

Practice Location

Address
1197 ROCHESTER RD
Address 2
SUITE K
City
Troy
ZIP Code
48083-6031
Phone
(248) 307-1168

Authorized Official

Name
MR. THOMAS L. MCCORMICK
Title
OWNER/CEO
Phone
(248) 307-1168

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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