Provider Demographics
NPI:1902215510
Name:COMPREHENSIVE LAB SERVICES LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE LAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PARAMJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:AHLUWALIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-610-2227
Mailing Address - Street 1:2300 AUSTINS PKWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-1363
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2300 AUSTINS PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-1363
Practice Address - Country:US
Practice Address - Phone:844-234-9758
Practice Address - Fax:810-515-7570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI23D2079736291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory