23D0694358 CLIA NUMBER - SOUDABEH AHADI

Laboratory Demographics

CLIA Number: 23D0694358

Facility Name: SOUDABEH AHADI

Facility Address:
55 COLE ROAD
MONROE, MI
ZIP 48162
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Facility Phone Number: 313 242-2022

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1174510275

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	23D0694358
LAB Type	Physician Office
Facility Name	SOUDABEH AHADI
Street	55 COLE ROAD
City	MONROE
State	MI
ZIP	48162
Phone	313 242-2022
CertificateType	3
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024