Provider Demographics
NPI:1932507969
Name:ORCHARD LABORATORIES CORP
Entity Type:Organization
Organization Name:ORCHARD LABORATORIES CORP
Other - Org Name:ORCHARD TOXICOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-808-3308
Mailing Address - Street 1:7091 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3654
Mailing Address - Country:US
Mailing Address - Phone:248-419-0999
Mailing Address - Fax:866-383-0999
Practice Address - Street 1:7091 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3654
Practice Address - Country:US
Practice Address - Phone:248-419-0999
Practice Address - Fax:866-383-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory