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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANISHA EASON

Active Sole Proprietor

TANISHA EASON is a Clinical Medical Laboratory healthcare provider located in NORTHVILLE, Michigan. NPI 1457801003 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · NORTHVILLE, MI

Registration Details

NPI Number
1457801003
Provider Type
Individual
Gender
Female
NPI Issued
Oct 6, 2016 (9.8883068083206 yrs)
Last Updated
Dec 11, 2022
Sole Proprietor
Yes

Practice Information

Address
17343 HIDDEN LAKE WAY
NORTHVILLE, MI, 481682293
Browse MI providers · Browse ZIP 48168
Phone
2485952300
Primary Specialty
Clinical Medical Laboratory
291U00000X
Additional Specialty
Clinical Medical Laboratory
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.