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23D2236430 CLIA NUMBER - LANDMARK MEDICAL OF MICHIGAN P C

Laboratory Demographics

CLIA Number: 23D2236430

Facility Name: LANDMARK MEDICAL OF MICHIGAN P C

Facility Address:
26677 W 12 MILE ROAD SUITE 168
SOUTHFIELD, MI
ZIP 48034
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Facility Phone Number: 313 384-2204

Facility Type: Other - MOBILE PHYSICIAN GROUP

Certificate Type: Waiver
NPI Number: 1225520133

Taxonomy: 104100000X - Social Worker
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

CLIA Record

Field Name Field Value
CLIA Number 23D2236430
LAB Type Other - MOBILE PHYSICIAN GROUP
Facility Name LANDMARK MEDICAL OF MICHIGAN P C
Street 26677 W 12 MILE ROAD SUITE 168
City SOUTHFIELD
State MI
ZIP 48034
Phone 313 384-2204
CertificateType 4
CertificateEffectiveDate 9/16/2023
CertificateExpirationDate 9/15/2025
FacilityType Waiver

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