| Itest Health Plc | |
|
14700 Farmington Rd Ste 105 Livonia MI 48154-5434 | |
| (248) 330-7098 | |
| Not Available |
| Full Name | Itest Health Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 14700 Farmington Rd Ste 105, Livonia, Michigan |
| Authorized Official Name and Position | Bashar Yalldo (OWNER) |
| Authorized Official Contact | 2482120446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Itest Health Plc 12740 W Warren Ave Ste 200 Dearborn MI 48126-4530 Ph: () - | Itest Health Plc 14700 Farmington Rd Ste 105 Livonia MI 48154-5434 Ph: (248) 330-7098 |
| NPI Number | 1992478382 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 05/16/2022 |
| Medicare PECOS PAC ID | 9032507025 |
|---|---|
| Medicare Enrollment ID | O20211025001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992478382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stacey L Bartell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669476933 PECOS PAC ID: 7618003708 Enrollment ID: I20100329000074 |
| Provider Name | Bashar J Yalldo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891133575 PECOS PAC ID: 2264736271 Enrollment ID: I20160628002118 |
| Provider Name | Brandon T Karmo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831533645 PECOS PAC ID: 8729384854 Enrollment ID: I20160630000940 |
| Provider Name | Nuha Bakkal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245847342 PECOS PAC ID: 4385055391 Enrollment ID: I20201124000556 |
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