Provider Demographics
NPI:1649480609
Name:HEALTH DIAGNOSTICS INC
Entity type:Organization
Organization Name:HEALTH DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BALI
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-352-2400
Mailing Address - Street 1:21309 HILLTOP ST BLDG A
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-4064
Mailing Address - Country:US
Mailing Address - Phone:248-352-2400
Mailing Address - Fax:248-352-0484
Practice Address - Street 1:21309 HILLTOP ST BLDG A
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-4064
Practice Address - Country:US
Practice Address - Phone:248-352-2400
Practice Address - Fax:248-352-0484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4936092Medicaid
MI=========OtherCOMMERCIAL CLAIMS
MI0P25210Medicare ID - Type Unspecified