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General NPI Number Information
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NPI Number | 1932507969
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Entity Type | Organization
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Legal Business Name | ORCHARD LABORATORIES CORP
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 7091 ORCHARD LAKE RD SUITE 100
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3654
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Country | US
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Telephone | 248-419-0999
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Fax | 866-383-0999
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Provider Business Mailing Address
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Address Line | 7091 ORCHARD LAKE RD SUITE 100
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3654
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Country | US
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Telephone | 248-419-0999
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Fax | 866-383-0999
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SAMI AHMAD
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Credential |
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Telephone | 248-808-3308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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