Medical Diagnostic Lab, Inc

LBN: Medical Diagnostic Lab, Inc
Medical Diagnostic Lab, Inc is an health care organization with primary practice located at 1551 W Big Beaver Rd D15, Troy MI 48084-3528. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Medical Diagnostic Lab, Inc can be contacted via phone (248) 659-8700, or through Kalabat, Peter J via phone (248) 649-8700.

Contact Information

Primary practice address
1551 W Big Beaver Rd D15 Troy MI 48084-3528
Fax:
Website:
Authorized official contact:
Name: Kalabat, Peter J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 475033 Michigan

Profile Details

NPI number 1184778144
LBN Legal business name Medical Diagnostic Lab, Inc
DBA Doing business as
Authorized official Kalabat, Peter J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Dec 17th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184778144 NPPES
Michigan MEDICAID 2726668

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