Provider Demographics
NPI:1477946580
Name:SMB DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:SMB DIAGNOSTICS LLC
Other - Org Name:ACCURATE CLINICAL LABS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRAWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-212-3842
Mailing Address - Street 1:29426 CHELSEA XING
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-2809
Mailing Address - Country:US
Mailing Address - Phone:313-212-3842
Mailing Address - Fax:
Practice Address - Street 1:24525 SOUTHFIELD RD
Practice Address - Street 2:SUITE# 214
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2740
Practice Address - Country:US
Practice Address - Phone:248-234-6184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIE5891J291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory