23D0894248 CLIA NUMBER - WILLIAM L JORDAN, MD

Laboratory Demographics

CLIA Number: 23D0894248

Facility Name: WILLIAM L JORDAN, MD

Facility Address:
12900 WEST NINE MILE
OAK PARK, MI
ZIP 48237
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Facility Phone Number: 248 547-9292

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497744932

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	23D0894248
LAB Type	Physician Office
Facility Name	WILLIAM L JORDAN, MD
Street	12900 WEST NINE MILE
City	OAK PARK
State	MI
ZIP	48237
Phone	248 547-9292
CertificateType	4
CertificateEffectiveDate	10/7/2022
CertificateExpirationDate	10/6/2024
FacilityType	Waiver

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