23D2169953 CLIA NUMBER - MOUSSA BAZZI, MD NEUROMUSCULAR MEDICINE

Laboratory Demographics

  • CLIA Code: 23D2169953
  • Facility Name: MOUSSA BAZZI, MD NEUROMUSCULAR MEDICINE
  • Facility Address: 4700 GREENFIELD RD STE 2E
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 425-5538
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: HEATHER MACPHEE
  • NPI Number: 1326467143
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 23D2169953
LAB Type Physician Office
Facility Name MOUSSA BAZZI, MD NEUROMUSCULAR MEDICINE
Street 4700 GREENFIELD RD STE 2E
City DEARBORN
State MI
ZIP 48126
Phone 313 425-5538
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director HEATHER MACPHEE

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This page was last updated on: 9/29/2025