National Provider Identifier Database

LIFETEST MICHIGAN LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

LIFETEST MICHIGAN LLC
26400 W 12 MILE RD
SUITE 114
SOUTHFIELD, MI48034
Phone: 248-358-3223
Fax: 248-358-3218
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for LIFETEST MICHIGAN LLC

NPI Number 1336114503
Legal business name
LBN
LIFETEST MICHIGAN LLC
Authorized official ALAN HARTZ - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/21/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MI Other: 0F31831 BCBSM GROUP NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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