Healthcare Provider Details

I. General information

NPI: 1013424399
Provider Name (Legal Business Name): TOX TESTING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2018
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16100 19 MILE RD STE 200
CLINTON TOWNSHIP MI
48038-1148
US

IV. Provider business mailing address

16100 19 MILE RD STE 200
CLINTON TOWNSHIP MI
48038-1148
US

V. Phone/Fax

Practice location:
  • Phone: 586-286-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ANGELO
Title or Position: CEO
Credential:
Phone: 248-818-2405