Provider Demographics
NPI:1114198041
Name:MEDICAL EVALUATIONS AND TESTING P.C.
Entity Type:Organization
Organization Name:MEDICAL EVALUATIONS AND TESTING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEHAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-354-1111
Mailing Address - Street 1:20411 W 12 MILE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-5414
Mailing Address - Country:US
Mailing Address - Phone:248-354-1111
Mailing Address - Fax:248-354-1114
Practice Address - Street 1:20411 W 12 MILE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-5414
Practice Address - Country:US
Practice Address - Phone:248-354-1111
Practice Address - Fax:248-354-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty