Healthcare Provider Details

I. General information

NPI: 1710036751
Provider Name (Legal Business Name): OXIMETRY COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 03/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15760 19 MILE RD SUITE F
CLINTON TWP MI
48038-6319
US

IV. Provider business mailing address

15760 19 MILE RD SUITE F
CLINTON TWP MI
48038-6319
US

V. Phone/Fax

Practice location:
  • Phone: 586-416-2550
  • Fax: 586-416-2580
Mailing address:
  • Phone: 586-416-2550
  • Fax: 586-416-2580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT WARREN RUDOWSKI II
Title or Position: PRESIDENT CEO
Credential: PHD
Phone: 586-416-2550