Healthcare Provider Details

I. General information

NPI: 1932414463
Provider Name (Legal Business Name): VHS UNIVERSITY LABORATORIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2010
Last Update Date: 09/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 SAINT ANTOINE ST
DETROIT MI
48201-2153
US

IV. Provider business mailing address

20 BURTON HILLS BLVD SUITE 100, ATTENTION, CAROL BAILEY
NASHVILLE TN
37215-6197
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-3000
  • Fax:
Mailing address:
  • Phone: 615-665-6000
  • Fax: 615-665-6184

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: CAROL A BAILEY
Title or Position: VICE PRESIDENT
Credential:
Phone: 615-665-6000