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KHIDMAH LLC NPI 1093228124


NPI Information

NPI: 1093228124
Provider Name: KHIDMAH LLC

Doing Business As: MYLAB

Classification: Point of Service - 305S00000X
Entity Type: Organization

CLIA Number: 23D2155343

Address:
9315 JOSEPH CAMPAU ST
HAMTRAMCK, MI
ZIP 48212
Phone: (313) 505-7151
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KHIDMAH LLC is a point of service in Hamtramck, MI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. KHIDMAH LLC NPI is 1093228124. The provider is registered as an organization entity type.
The provider Is Doing Business As Mylab.

The provider's business location address is:

9315 JOSEPH CAMPAU ST
HAMTRAMCK, MI
ZIP 48212-433
Phone: (313) 505-7151

The provider's authorized official is Syed A Habib .
The authorized official title is Administrator and has the following contact phone number (313) 505-7151.

The CLIA number assigned to this NPI record is 23D2155343 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/11/2017 and was last updated on 11/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of ServiceMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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