23D1064315 CLIA NUMBER - REPRODUCTIVE MEDICINE ASSOCIATES OF MICHIGAN

Laboratory Demographics

CLIA Number: 23D1064315

Facility Name: REPRODUCTIVE MEDICINE ASSOCIATES OF MICHIGAN

Facility Address:
130 TOWN CENTER DRIVE SUITE 106
TROY, MI
ZIP 48084
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Facility Phone Number: 248 619-3100

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1972689453

Taxonomy: 207VE0102X - Obstetrics & Gynecology
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

CLIA Record

Field Name	Field Value
CLIA Number	23D1064315
LAB Type	Physician Office
Facility Name	REPRODUCTIVE MEDICINE ASSOCIATES OF MICHIGAN
Street	130 TOWN CENTER DRIVE SUITE 106
City	TROY
State	MI
ZIP	48084
Phone	248 619-3100
CertificateType	2
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Compliance

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