Healthcare Provider Details
I. General information
NPI: 1184314056
Provider Name (Legal Business Name): HARMONY HEALTH DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2023
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1525 W CARO RD
CARO MI
48723-9686
US
IV. Provider business mailing address
3061 CHRISTY WAY STE A
SAGINAW MI
48603-2224
US
V. Phone/Fax
- Phone: 989-672-2100
- Fax:
- Phone: 732-318-4002
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 293D00000X |
| Taxonomy | Physiological Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MUHAMMAD
S
MIRZA
Title or Position: ADMINSTRATOR
Credential:
Phone: 732-318-4002