Healthcare Provider Details

I. General information

NPI: 1326967589
Provider Name (Legal Business Name): CLASS A SIGNATURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20608 OLD HOMESTEAD DR
HARPER WOODS MI
48225-2039
US

IV. Provider business mailing address

20608 OLD HOMESTEAD DR
HARPER WOODS MI
48225-2039
US

V. Phone/Fax

Practice location:
  • Phone: 313-485-5945
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: TAWANNA URQUHART
Title or Position: OWNER
Credential:
Phone: 313-485-9450