23D2195387 CLIA NUMBER - MARTIN A TUMA, MD, VASCULAR SURGERY, PLLC

Laboratory Demographics

CLIA Number: 23D2195387

Facility Name: MARTIN A TUMA, MD, VASCULAR SURGERY, PLLC

Facility Address:
23077 GREENFIELD SUITE 110
SOUTHFIELD, MI
ZIP 48075
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Facility Phone Number: 947 282-6304

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154331858

Taxonomy: 2086S0129X - Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLIA Record

Field Name Field Value
CLIA Number 23D2195387
LAB Type Physician Office
Facility Name MARTIN A TUMA, MD, VASCULAR SURGERY, PLLC
Street 23077 GREENFIELD SUITE 110
City SOUTHFIELD
State MI
ZIP 48075
Phone 947 282-6304
CertificateType 4
CertificateEffectiveDate 10/8/2022
CertificateExpirationDate 10/7/2024
FacilityType Waiver

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