institution
Lake Diagnostics, Inc.
Specialist in Waterford, Michigan
NPI 1134130172

Lake Diagnostics, Inc. is a Specialist based in Waterford, MI. Lake Diagnostics, Inc. practices in Waterford, MI. The NPI Number for Lake Diagnostics, Inc. is 1134130172 and holds a License No. (Michigan).

The current practice location address for Lake Diagnostics, Inc. is 3550 Pontiac Lake Rd, Waterford, MI and can be reached out via phone at 248-674-8199 and via fax at 248-674-8205.

Location: 3550 Pontiac Lake Rd, Waterford, MI, 48328-2337
institution
Provider Profile Details
NPI Number
1134130172
Provider Name
Lake Diagnostics, Inc.
Credential
Provider Entity Type
Organization
Address
3550 Pontiac Lake Rd, Waterford, MI, 48328-2337
Phone Number
248-674-8199
Fax Number
248-674-8205
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4168987-10 05 MI
1376540286 01 MI NPI KACHADURIAN
3175190-10 05 MI
1437181146 01 MI NPI MELLEN
1891751509 01 MI NPI KOVAN
4661544-11 05 MI
4876314-11 05 MI
1205824505 01 MI NPI RUBIN
3225247-10 05 MI
CA2712 01 MI RAILROAD MEDICARE
1346212800 01 MI NPI BORIN
1356349062 01 MI NPI SILVERMAN
1013935071 01 MI NPI OSTERBERGER
1588661391 01 MI NPI ELKISS
700F313270 01 MI BCBS GROUP PROVIDER
4876216-11 05 MI
institution
Provider Business Practice Location Address Details
Address
3550 Pontiac Lake Rd
City
State
Zip
48328-2337
Phone Number
248-674-8199
Fax Number
248-674-8205
person
Provider Business Mailing Address Details
Address
3550 Pontiac Lake Rd
City
State
Zip
48328-2337
Phone Number
248-674-8199
Fax Number
248-674-8205
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
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Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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