Provider Demographics
NPI:1356184956
Name:VALUE HEALTH LABORATORY LLC
Entity type:Organization
Organization Name:VALUE HEALTH LABORATORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELJAHMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-983-5653
Mailing Address - Street 1:4539 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3046
Mailing Address - Country:US
Mailing Address - Phone:248-983-5653
Mailing Address - Fax:
Practice Address - Street 1:1307A ALLEN DR STE 200
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-4016
Practice Address - Country:US
Practice Address - Phone:248-983-5653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory