Provider Demographics
NPI:1609525906
Name:RELIABLE COVID TESTING
Entity Type:Organization
Organization Name:RELIABLE COVID TESTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANAE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMON
Authorized Official - Suffix:
Authorized Official - Credentials:LABORATORY DIRECTOR
Authorized Official - Phone:248-513-0016
Mailing Address - Street 1:22452 FULLER DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-3780
Mailing Address - Country:US
Mailing Address - Phone:248-513-0016
Mailing Address - Fax:
Practice Address - Street 1:10986 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-3058
Practice Address - Country:US
Practice Address - Phone:734-855-4273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service