Healthcare Provider Details

I. General information

NPI: 1053221465
Provider Name (Legal Business Name): NOVACORE LABS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28000 SOUTHFIELD RD STE 100B
LATHRUP VILLAGE MI
48076-2864
US

IV. Provider business mailing address

28000 SOUTHFIELD RD STE 100B
LATHRUP VILLAGE MI
48076-2864
US

V. Phone/Fax

Practice location:
  • Phone: 586-306-3543
  • 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: SYED FAHAD HUSSAIN
Title or Position: OWNER
Credential:
Phone: 586-306-3543