23D2277045 CLIA NUMBER - MI FAMILY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 23D2277045

Facility Name: MI FAMILY MEDICAL CENTER

Facility Address:
23985 NOVI ROAD SUITE B-102
NOVI, MI
ZIP 48375
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Facility Phone Number: 248 983-1130

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104536069

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D2277045
LAB Type	Physician Office
Facility Name	MI FAMILY MEDICAL CENTER
Street	23985 NOVI ROAD SUITE B-102
City	NOVI
State	MI
ZIP	48375
Phone	248 983-1130
CertificateType	4
CertificateEffectiveDate	2/21/2023
CertificateExpirationDate	2/20/2025
FacilityType	Waiver

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