OrganizationActive
Universal Clinic P.C.
NPI 1104860212 · Legal Medicine · Southfield, MI
Provider details
- NPI number
- 1104860212
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Marina Ilyayev, Manager(248) 569-5100
Specialties & taxonomies
Other Service Providers
Practice location
18597 W 10 Mile Rd
Ste #1
Southfield, MI 48075-2663
Phone: (248) 569-5100
Fax: (248) 569-4774
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 198
Southfield, MI 48037
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.