Organization · Type 2 NPI

Metabolic Medicine Lab PLLC

Medical Specialty Clinic/Center · St. Clair Shores, MI

NPI number 1043048911 Active

Practice location

21444 Harper Ave
St. Clair Shores, MI 48080-2244

Mailing address

1025 Bishop Rd
Grosse Pointe Park, MI 48230-1447

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1043048911

Metabolic Medicine Lab PLLC's National Provider Identifier is 1043048911, issued on Jul 23, 2024. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jul 23, 2024.