Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Diagnostics, Inc

Organization Specialist · NPI 1134130172

Lake Diagnostics, Inc is a Specialist in Waterford, Michigan. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3550 Pontiac Lake Rd
Waterford, MI 48328-2337
Phone: (248) 674-8199
Fax: (248) 674-8205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1134130172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Leib — President/Owner · (248) 674-8199
NPI enumeratedAugust 11, 2006
Last updated in NPPESDecember 8, 2011
Mailing address3550 Pontiac Lake Rd, Waterford, MI 48328-2337

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