Advanced Central Laboratory, LLC
NPI #1821453903 in Allen Park, Michigan
Provider Information
- NPI Number
- 1821453903
- Entity Type
- Organization
- Organization Name
- Advanced Central Laboratory, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 16, 2015
- Last Updated
- Dec 16, 2015
Practice Location
- Address
- 14717 CHAMPAIGN RD
- City
- Allen Park
- State
- Michigan
- ZIP Code
- 48101-1693
- Phone
- (313) 656-1199
Authorized Official
- Name
- SAMIR ITANI
- Title
- MANAGING EMPLOYEE
- Phone
- (313) 656-1199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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