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General NPI Number Information
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NPI Number | 1609525906
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Entity Type | Organization
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Legal Business Name | RELIABLE COVID TESTING
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 10986 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48150-3058
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Country | US
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Telephone | 734-855-4273
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Fax |
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Provider Business Mailing Address
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Address Line | 22452 FULLER DR
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City | NOVI
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State | MI
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Zip | 48374-3780
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Country | US
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Telephone | 248-513-0016
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHANAE ALMON
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Credential | LABORATORY DIRECTOR
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Telephone | 248-513-0016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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