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1700821188
LAKE DIAGNOSTICS, INC.
WATERFORD, MI
NPI
1700821188
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Entity Type
Organization
Authorized Contact
JOEL LEIB
President
248-626-0766
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2006-06-18
Last Update Date
2022-07-21
Business Address
LAKE DIAGNOSTICS, INC.
3550 PONTIAC LAKE RD
WATERFORD, MI 48328-2337
Phone number: 248-674-8199
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Mailing Address
LAKE DIAGNOSTICS, INC.
31800 NORTHWESTERN HWY SUITE 370
FARMINGTON HILLS, MI 48334-1655
Phone number: 248-626-0766
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