23D2189219 CLIA NUMBER - MED-SCAN INC

Laboratory Demographics

  • CLIA Code: 23D2189219
  • Facility Name: MED-SCAN INC
  • Facility Address: 29355 NORTHWESTERN HIGHWAY SUITE 120
    SOUTHFIELD, MI
    ZIP 48034
  • Facility Phone: 248 827-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMEGOWDA RAJAGOPAL
  • NPI Number: 1285673004
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2189219
LAB Type Physician Office
Facility Name MED-SCAN INC
Street 29355 NORTHWESTERN HIGHWAY SUITE 120
City SOUTHFIELD
State MI
ZIP 48034
Phone 248 827-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director RAMEGOWDA RAJAGOPAL

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This page was last updated on: 3/20/2025