Healthcare Provider Details

I. General information

NPI: 1609525906
Provider Name (Legal Business Name): RELIABLE COVID TESTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10986 MIDDLEBELT RD
LIVONIA MI
48150-3058
US

IV. Provider business mailing address

22452 FULLER DR
NOVI MI
48374-3780
US

V. Phone/Fax

Practice location:
  • Phone: 734-855-4273
  • Fax:
Mailing address:
  • Phone: 248-513-0016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHANAE ALMON
Title or Position: CEO
Credential: LABORATORY DIRECTOR
Phone: 248-513-0016