23D2014187 CLIA NUMBER - ASHRAF MOHAMED MD PLC

Laboratory Demographics

CLIA Number: 23D2014187

Facility Name: ASHRAF MOHAMED MD PLC

Facility Address:
6502 GREENFIELD RD
DEARBORN, MI
ZIP 48126
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Facility Phone Number: 313 582-7266

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184741407

Taxonomy: 208VP0014X - Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CLIA Record

Field Name Field Value
CLIA Number 23D2014187
LAB Type Physician Office
Facility Name ASHRAF MOHAMED MD PLC
Street 6502 GREENFIELD RD
City DEARBORN
State MI
ZIP 48126
Phone 313 582-7266
CertificateType 4
CertificateEffectiveDate 10/4/2022
CertificateExpirationDate 10/3/2024
FacilityType Waiver

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