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UNIVERSAL CLINIC P.C. NPI 1104860212


NPI Information

NPI: 1104860212
Provider Name: UNIVERSAL CLINIC P.C.
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
18597 W 10 MILE RD
STE #1
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 569-5100
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UNIVERSAL CLINIC P.C. is a legal medicine in Southfield, MI. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. UNIVERSAL CLINIC P.C. NPI is 1104860212. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18597 W 10 MILE RD
STE #1
SOUTHFIELD, MI
ZIP 48075-663
Phone: (248) 569-5100
Fax: (248) 569-4774

The provider's authorized official is Marina Ilyayev .
The authorized official title is Manager and has the following contact phone number (248) 569-5100.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineYes

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: 11/14/2023

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