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Divine Diagnostic Company
Point of Service in Sterling Heights, Michigan
NPI 1881901668

Divine Diagnostic Company is a Point of Service based in Sterling Heights, MI. Divine Diagnostic Company practices in Sterling Heights, MI. The NPI Number for Divine Diagnostic Company is 1881901668 and holds a License No. (Michigan).

The current practice location address for Divine Diagnostic Company is 5005 E 14 Mile Rd Ste 100, Sterling Heights, MI and can be reached out via phone at 586-795-3815 and via fax at 586-620-6062.

Location: 5005 E 14 Mile Rd Ste 100, Sterling Heights, MI, 48310-6533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881901668
Provider Name
Divine Diagnostic Company
Credential
Provider Entity Type
Organization
Address
5005 E 14 Mile Rd Ste 100, Sterling Heights, MI, 48310-6533
Phone Number
586-795-3815
Fax Number
586-620-6062
Provider Enumeration Date
09/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0E03743 01 BC
1881901668 05 MI
institution
Provider Business Practice Location Address Details
Address
5005 E 14 Mile Rd Ste 100
City
Sterling Heights
State
Michigan
Zip
48310-6533
Phone Number
586-795-3815
Fax Number
586-620-6062
person
Provider Business Mailing Address Details
Address
5005 E 14 Mile Rd Ste 100
City
Sterling Heights
State
Michigan
Zip
48310-6533
Phone Number
586-795-3815
Fax Number
586-620-6062
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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